Authors
Starostina A.V., Pudeeva A.Kh., Adzhieva A.A.
S. Fyodorov Eye Microsurgery Federal State Institution, Mosсow
Abstract
The article presents two similar clinical cases. Patients with complaints of bulbar conjunctiva neoplasm, which grew on the cornea, caused a pronounced feeling of discomfort and partially impaired visual functions, turned to the department of surgical treatment of glaucoma of the MNTC “Eye Microsurgery”. It should be noted that previously these patients underwent a sinustrabeculectomy at their place of residence in order to reduce intraocular pressure. After examination and additional instrumental research methods, the presence of a cystic filtration bleb was diagnosed and the area of anti-glaucoma surgery was revised with individual characteristics in each case. As a result of the treatment, a positive effect was achieved. At a repeat visit a month after surgery, patients did not complain, intraocular pressure was compensated, and there were no relapses.
Keywords: sinustrabeculectomy, glaucoma, cystic filtration bleb.
References
1. Raj A, Bahadur H. Morphological analysis of functional filtering blebs with anterior segment optical coherence tomography: A short-term prediction for success of trabeculectomy // Eur J Ophthalmol. – 2021 Jul;31(4):1978-1985. DOI: 10.1177/1120672120924340. Epub 2020 May 18. PMID: 32423253.
2. Anh BTV, Dat NT, Vu AT, Hieu NT, Quyet D, Thai TV, Nga VT, Dinh TC, Bac ND. Assessing the status of filtering blebs at 5 year post-trabeculectomy // Open Access Maced J Med Sci. – 2019 Dec 20;7(24):4278-4282. DOI: 10.3889/oamjms.2019.374. PMID: 32215077; PMCID: PMC7084019.
3. Petrov S.Yu. Filtering bleb classifications. National Journal glaucoma. 2014;13(2):85-98. (In Russ.)
4. Al-Mugheiry TS, Clark A, Broadway DC. The Norwich trabeculectomy study: risk factor analysis for the development of adverse, thin cystic blebs // Acta Ophthalmol. – 2022 Nov;100(7). DOI: 10.1111/aos.15193. Epub 2022 May 30. PMID: 35638110.
5. Sethi P., Patel R.N., Goldhardt R., Ayyala R.S. Conjunctival advancement with subconjunctival amniotic membrane draping technique for leaking cystic blebs // J. Glaucoma. – 2016. – Vol. 25, № 2. – P. 188–192.
6. O’Rourke M, Moran S, Collins N, Doyle A. Bleb reconstruction using donor scleral patch graft for late bleb leak and hypotony // Eur J Ophthalmol. – 2021 May;31(3):1039-1046. DOI: 10.1177/1120672120924343. Epub 2020 May 26. PMID: 32450728.
7. Singh K, Bhattacharyya M, Saran R, Gotmare N, Aggarwal H, Jain P. Recurrence of gigantic overhanging bleb post excision: a case report // GMS Ophthalmol Cases. – 2023 Sep 19;13. DOI: 10.3205/oc000224. PMID: 37850222; PMCID: PMC10577655.
8. Ye T, Li F, Li X. [Revision of thin-walled cystic bleb by transposing conjunctival flap technique] // Zhonghua Yan Ke Za Zhi. – 2001 Jan;37(1):37-9. Chinese. PMID: 11864387.
