Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000031.xml
Klin Monbl Augenheilkd 2019; 236(04): 415-416
DOI: 10.1055/a-0796-6268
DOI: 10.1055/a-0796-6268
Der interessante Fall
Use of Autologous Oral Mucosa Transplant to Treat Conjunctival Necrosis and Leakage after Trabeculectomy
Autologes Mundschleimhauttransplantat für Behandlung der Konjunktivanekrose und Leckage nach TrabekulektomieFurther Information
Publication History
received 18 September 2018
accepted 12 November 2018
Publication Date:
18 April 2019 (online)

Background
Trabeculectomy is the most commonly performed filtration surgery. Although it is relatively easy to perform and effectively lowers intraocular pressure, it is not always without complications. To prevent scarring, mitomycin C is sometimes used as an adjunct, which can additionally lead to an increased incidence of ocular hypotony due to thinner and leaking blebs [1]. Treatment options for late-onset bleb leakage and overfiltration include a multitude of surgical and nonsurgical procedures.
-
References
- 1 Greenfield DS, Liebmann JM, Jee J. et al. Late-onset bleb leaks after glaucoma filtering surgery. Arch Ophthalmol 1998; 114: 943-949 doi:10.1001/archopht.116.4.443
- 2 DeBry PW, Perkins TW, Heatley G. et al. Incidence of late-onset bleb related complications following trabeculectomy with mitomycin. Arch Ophthalmol 2002; 3: 297-300 doi:10.1001/archopht.120.3.297
- 3 Bochmann F, Azuara-Blanco A. Interventions for late trabeculectomy bleb leak. Cochrane Database Syst Rev 2012; (09) CD006769
- 4 Coutinho I, Silva D, Mota M. et al. GMS Ophthalmology Cases, 7. Reconstruction of delayed scleral flap melting with bovine pericardium after trabeculectomy with mitomycin C. GMS Ophthalmology Cases 2017; 7: Doc15 doi:10.3205/oc000066
- 5 Harizman N, Ben-Cnaan R, Goldenfeld M. et al. Donor scleral patch for treating hypotony due to leaking and/or overfiltering blebs. J Glaucoma 2005; 14: 492-496 doi:10.1097/01.ijg.0000185618.98915.d2
- 6 De Sousa JL, Leibovitch I, Malhotra R. et al. Techniques and outcomes of total upper and lower eyelid reconstruction. Arch Ophthalmol 2007; 125: 1601-1609 doi:10.1001/archopht.125.12.1601
- 7 Fu Y, Liu J, Tseng SCG. Oral mucosal graft to correct lid margin pathologic features in cicatricial ocular surface diseases. Am J Ophthalmol 2011; 152: 600-608 doi:10.1016/j.ajo.2011.03.011
- 8 Hirst LW. Recurrence and complications after 1,000 surgeries using pterygium extended removal followed by extended conjunctival transplant. Ophthalmology 2012; 119: 2205-2210 doi:10.1016/j.ophtha.2012.06.021
- 9 Rootman DB, Kumar NL, Rootman DS. et al. Buccal mucous membrane for the reconstruction of complicated leaking trabeculectomy blebs. J Glaucoma 2010; 19: 270-274 doi:10.1097/IJG.0b013e3181aff448
- 10 Mai C, Bertelmann E. Oral mucosal grafts: old technique in new light. Ophthalmic Res 2013; 50: 91-98 doi:10.1159/000351631