PMID: 9186442Jun 1, 1997Paper

Needling revision of glaucoma drainage device filtering blebs

Ophthalmology
P P Chen, P F Palmberg

Abstract

Needling revision is an accepted method of management of poorly functioning trabeculectomy blebs. The authors present the outcome of the analogous needling revision of poorly functioning filtering blebs over glaucoma drainage device (GDD) reservoirs. Review of 20 patients (21 eyes) who underwent needling to the bleb overlying the GDD reservoir, with or without adjunctive 5-fluorouracil injection. In the nine eyes (43%) that were considered successes (defined as intraocular pressure [IOP] less than or equal to 21 mmHg and decrease in IOP greater than or equal to 20% with no additional medication or glaucoma surgery), the mean IOP fell from 28.3 +/- 6.4 mmHg to 13.9 +/- 2.7 mmHg at last follow-up, after a mean of 1.7 needlings (range, 1-3 needlings) with mean follow-up of 14.6 months (range, 5-35 months [corrected]). Needling success was associated with larger GDD surface area (mean, 267 +/- 95 mm2 vs. 179 +/- 79 mm2 in eyes needled unsuccessfully, P = 0.04) and use of Baerveldt implants (six of eight eyes needled successfully). Minor complications were few. Endophthalmitis developed in one patient (5% of all eyes) after needling. Needling revision can be useful in the management of poorly functioning GDD blebs, although the risk...Continue Reading

References

Jan 1, 1990·International Ophthalmology Clinics·M F Lieberman, R H Ewing
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Jul 1, 1995·American Journal of Ophthalmology·M J HodkinM S Insler

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Citations

Apr 21, 2010·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·André RosentreterThomas S Dietlein
Jun 27, 2001·Ophthalmology·S J GeddeH W Flynn
Apr 3, 2002·Ophthalmology·Anjali S HawkinsSteven V L Brown
Jul 15, 1998·Ophthalmology·D S LamD S Fan
Apr 17, 2004·International Ophthalmology Clinics·Herbert P Fechter, Richard K Parrish
Apr 24, 2007·International Ophthalmology Clinics·Jeffrey N WentzloffTeresa C Chen
Mar 19, 2005·The British Journal of Ophthalmology·A A Al-TorbakD P Edward
Jul 2, 2005·Journal of Glaucoma·Maya Eibschitz-TsimhoniSayoko E Moroi
Aug 15, 2009·Journal of Glaucoma·Efstathios T DetorakisIoannis G Pallikaris
Apr 10, 2010·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Pat-Michael PalmieroZaher Sbeity
Jan 19, 2012·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Rajesh DalviCatherine M Birt
Jun 1, 2014·Journal of Pediatric Ophthalmology and Strabismus·Sharaf KhanNeelakshi Bhagat
Apr 29, 2008·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Agnieszka TrzcinkaSayoko E Moroi
Dec 4, 2003·Acta Ophthalmologica Scandinavica·Marit FagerliTor Elsås
May 19, 2016·Ocular Immunology and Inflammation·Bogomil VoykovAntony William
Mar 13, 2016·The British Journal of Ophthalmology·Nathan M KerrMark J Walland
Jul 30, 2004·Clinical & Experimental Ophthalmology·Gianmarco ParisWilliam E Sponsel
Nov 1, 2017·Journal of Glaucoma·Yadollah EslamiAli Izadi
Aug 1, 2019·Cutaneous and Ocular Toxicology·Burak ErdemNimet Yesim Ercalik
Apr 9, 2017·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Kevin KaplowitzJames C Tsai
Jun 11, 2019·Korean Journal of Ophthalmology : KJO·Seong Eun LeeChang Sik Kim
Aug 28, 2020·International Ophthalmology·Maryam YadgariFatemeh Vafaei

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