Abstract

GARCIA-SERRANO, J.L.; GARCIA-ROBLES, P.; SANCHEZ-MERINO, C.  and  RODRIGUEZ-ESCOBAR, J.J.. Repair of a leaking bleb filtration with conjunctival and amniotic membrane transplantation. Arch Soc Esp Oftalmol [online]. 2011, vol.86, n.8, pp.260-263. ISSN 0365-6691.

Clinical Case: A 71-year-old woman presented with a leaking bleb after a combined phacotrabeculectomy performed 13 years ago. To construct a new filtering bleb, the necrotic area was fully excised. The amniotic membrane was inserted over the scleral flap underneath healthy conjunctiva edges. A conjunctiva-Tenon autograft from the contralateral eye was sutured and was sealed with fibrin adhesive. Discussion: We propose a new surgical technique to repair late leak failures after trabeculectomy with mitomycin C in blebs with a large avascular area. Transplantation of amniotic membrane and conjunctival autograft may be used to repair late leak failures with inadequate conjunctiva to advance.

Keywords : Trabeculectomy; Adverse effects; Amniotic membrane; Therapy; Conjunctival transplantation; Bleb leaks; Mitomycin C.

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