EyeWorld Magazine: January 2006 -
[Cached Version]
Published on: 1/1/2006
Last Visited: 1/27/2006
Robert M. Feldman, M.D., Hermann Eye Center, and Ghada Altaher, M.D., Neuroscience Research Center, both of the University of Texas Science Center at Houston, published a study in Current Opinion in Ophthalmology that reviews the different techniques for medical and surgical management of late bleb leaks.
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,Basically, either you use an aqueous suppressive and see what happens or you go ahead and surgically fix it in the OR,, Dr. Feldman said.
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Dr. Feldman, Dr. Budenz, and Dr. Heuer all said beginning with an aqueous suppressant can be effective.
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Dr. Feldman added that other conservative measures such as pressure patches, bandage contact lenses, and collagen shields tend to be temporizing and are used in combination with aqueous suppressants.
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Amniotic membrane grafts are reserved for cases without conjuctiva for a free graft, said Dr. Feldman.,The key to the whole thing is not taking down the bleb underneath it unless you,re forced to and just de-epithelializing it or else you,ll have a higher risk of bleb failure,, Dr. Feldman said.