Manejo de las ampollas encapsuladas tras implantación de dispositivos de drenaje en cirugía de glaucoma

  1. Teresa Gracia García-Miguel 1
  2. Esperanza Gutiérrez Díaz 1
  3. Marta Montero Rodríguez 1
  4. B. Sarmiento Torres
  1. 1 Hospital Universitario 12 de Octubre
    info

    Hospital Universitario 12 de Octubre

    Madrid, España

    ROR https://ror.org/00qyh5r35

Aldizkaria:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Argitalpen urtea: 2002

Alea: 77

Zenbakia: 8

Orrialdeak: 429-434

Mota: Artikulua

Beste argitalpen batzuk: Archivos de la Sociedad Española de Oftalmologia

Laburpena

Purpose We analyse the different options for the management of encapsulated blebs after glaucoma drainage device surgery, specially subconjunctival 5-fluouracil (5-FU) injections with or without associated needling. Methods Retrospective review of 20 eyes with encapsulated blebs following glaucoma drainage device surgery. All of the eyes received topical corticosteroids associated to digital massage. Subconjunctival 5-FU was necessary in 10 eyes, associated to needling of the bleb in 5 of them and to capsule excision in 2. Results Fifteen eyes were considered successes (complete in 10 eyes and uncomplete in 5). Eight of them had been treated with 5-FU (80% success in the 5-FU treated eyes group), associated to needling and/or capsule excision in 4 of them. The remaining 7 eyes were only treated conservatively (70% success with corticoid therapy and digital pressure). Conclusions We have obtained in our study very good results using subconjunctival 5-FU injections, associated in complicated or refractory cases to needling revision, in eyes with encapsulated blebs after glaucoma drainage device surgery, with no major complications (Arch Soc Esp Oftalmol 2002; 77: 429-434).