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Published: 2024-07-31
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DOI: https://doi.org/10.52852/tcncyh.v179i6.2481
Issue
Vol. 179 No. 6 (2024)
Section
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How to Cite
Giang, N. T. T., Văn, P. T., Anh, N. Đức, & Anh, B. T. V. (2024). 12. Preliminary outcomes of needle revision on failed deep slerectomy blebs. Journal of Medical Research, 179(6), 108-116. https://doi.org/10.52852/tcncyh.v179i6.2481

12. Preliminary outcomes of needle revision on failed deep slerectomy blebs

Nguyen Thi Thuy Giang, Pham Trong Van, Nguyen Duc Anh, Bui Thi Van Anh

Main Article Content

Abstract

A likely filtering bleb from a deep sclerectomy may fail due to post-operative scar formation. Currently, needle revision is a minimally invasive intervention used to salvage the function of a failed deep sclerectomy bleb. This study included 28 failed deep sclerectomy eyes from 23 patients at the Vietnam National Eye Hospital. The mean intraocular pressure (IOP) decreased significantly from a baseline mean of 26.14 ± 5.41mmHg to 14.46 ± 3.47mmHg at 1 month, 14.46 ± 4.81mmHg at 2 months, 14.00 ± 4.81mmHg at 3 months, and 14.78 ± 3.33mmHg at 6 months. The complete success rates were 85.71% and 78.57% at 3 months and 6 months after needle revision, respectively. Complications included subconjunctival hemorrhage in 14 eyes (50%), iris incarceration in 2 eyes (7.2%), and keratitis in 2 eyes (7.2%). In conclusion, needle revision is a simple and effective technique with the potential for widespread application in eye centers.

Article Details

Keywords

Needle revision, deep sclerectomy

References

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