The main goal in surgical management is resection of bullae and blebs
and apical pleurodesis to prevent recurrence.
Till now, trabeculectomy is still the most efficient option for those with progressive glaucoma. Cicatrix is the major cause of postoperative bleb
failure and significantly affects the long-term success rate of trabeculectomy.,,, The use of antimitotic agents such as 5-fluorouracil and mitomycin C (MMC) has been widely accepted as the golden standard of trabeculectomy, apparently reducing the incidence of scar formation and enhancing bleb
Resection of pulmonary blebs
and pleurodesis for spontaneous pneumothorax.
Marks et al., "A pilot study of a system for grading of drainage blebs
after glaucoma surgery," Journal of Glaucoma, vol.
The conjunctiva was penetrated, apart from the bleb
, using a 30 G needle, and Healon V (AMO Japan, Tokyo, Japan) was injected into the bleb
She was subsequently diagnosed with blue rubber bleb
nevus syndrome based on clinical and endoscopic findings.
The superficial scleral flap was then loosely sutured to the sclera, and HealaFlow was injected under the flap to create a filtering bleb
. In PC, the superficial flap was sutured tightly in order to prevent leakage and subsequent bleb
formation with interrupted 10-0 monofilament nylon suture.
Siki yara yeri kapanmasina bagli yetersiz filtrasyon, duz bleb
, derin on kamara, okuler masaj oncesi GIB'nin 21 mmHg ve uzerinde olmasi, masajla GIB'nin duserek blebin belirginlesmesi argon LSK icin endikasyon olarak belirlendi.
It is hypothesized that the heat generated from the ablation procedure stretches the small fenestrations or leads to perforation of preexisting blebs
of the diaphragm .
(i) At day 1: (1) blebs
were elevated and with significant hyperemia ([??] indicates elevated bleb
); (2) the connective tissue of the bulbar conjunctiva was markedly oedematous and loose and vascular dilation and congestion were obvious, with an abundance of infiltrating neutrophils.
failure can occur after trabeculectomy for various reasons, but the most common cause is fibrotic changes in the conjunctiva and episclera.
Computed tomography (CT) scans can be used to detect patients with small pneumothorax and the number, size, location of bullae or blebs
. Therefore, pleural adhesion, pleural fluid and underlying pulmonary diseases are detected with CT scans.7 Patients with PSP are treated with surgical or non- surgical procedures.