Combined conjunctival relieving incisions and advancement for the repair of late-onset leaking trabeculectomy blebs.

ABSTRACT

PURPOSE: To describe a surgical technique for the repair of late-onset leaking blebs. METHODS: A surgical technique is described followed by a retrospective review of 5 clinical cases. All patients had a minimum of 12 months follow up. RESULTS: In all cases the leaks were successfully closed and bleb function was maintained. Of 5 patients, 3 required subsequent topical glaucoma medication though none required further drainage surgery. The mean intraocular pressure at last follow up was 16 mm Hg (range 10 to 27 mm Hg). CONCLUSIONS: This technique can be considered as an option for patients who require surgical revision for a leaking trabeculectomy bleb.