Outcomes of Conjunctival Pedicle Flap for Late-onset Complications Following Trabeculectomy with Mitomycin C
Department of Ophthalmology, Nippon Medical School
We retrospectively analyzed the short-term results (8 weeks) of the use of a conjunctival pedicle flap (CPF) for treating late complications following trabeculectomy with mitomycin C in 10 eyes of 10 patients with glaucoma. The main indications for CPF were bleb leak (8 eyes), overhanging bleb (1 eye), and choroidal detachment (1 eye). In all patients we performed bleb excision and advancement of the adjacent conjunctiva. Eight weeks after CPF transfer, no hypotony, bleb leak, overhanging bleb, or choroidal detachment was observed in any patient. Mean intraocular pressure at all time points after 1 week was significantly higher than before CPF transfer (p<0.01). The intraocular pressure after CPF transfer was higher than 15 mmHg in 7 cases (70%) and higher than 20 mmHg in 4 cases (40%).
ϊγεγο 2014; 10(2), 106-110
trabeculectomy, late-onset complication, conjunctival pedicle flap, glaucoma, bleb leak
Masahiro Fujita, Department of Ophthalmology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan