Amniotic Membrane Transplantation for Repair of Leaking Glaucoma Filtering Blebs with Scleral Perforation.

Leaking glaucoma filtering blebs with scleral perforation were successfully repaired in two patients using amniotic membrane transplantation. The amniotic membrane was placed into the subconjunctival space to cover the perforated scleral area. The edge of the limbal conjunctiva was sutured to the peripheral cornea with conjunctival advancement over the amniotic membrane. The bleb leaks were successfully closed. In addition, good and functioning filtration was maintained during a follow-up period of 12 months in both cases. Amniotic membrane transplantation may be effective for the surgical management of high risk of leaking glaucoma blebs with scleral perforation.