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Sarah Anis, MD; Robert Ritch, MD; Wisam Shihadeh, MD; Jeffrey Liebmann, MD

Arch Ophthalmol. 2006;124:1317-1320.

We describe methods and outcomes of a technique for sutureless surgical revision of symptomatic corneal overhanging filtering blebs after trabeculectomy using mitomycin in 6 eyes in 6 patients. Separation of the bleb from the corneal surface was achieved by blunt or sharp dissection, as necessary, and the overhanging portion of the bleb was excised and a bandage contact lens was inserted. Outcome measures included symptomatic relief, retention of bleb function, and maintenance of intraocular pressure. Five eyes (83.3%) demonstrated symptomatic relief and a cosmetically acceptable appearance. One patient continued to have dysesthesia, and 1 patient had bleb leak that required suture repair. Sutureless surgical revision of overhanging filtering blebs is a safe and effective technique to reduce bleb-related dysesthesia and improve cosmesis without compromising filtration function.

Author Affiliations: From the Departments of Ophthalmology, The New York Eye and Ear Infirmary (Drs Anis, Ritch, and Shihadeh); New York Medical College, Valhalla (Dr Ritch); Manhattan Eye, Ear & Throat Hospital, New York (Dr Liebmann); and New York University Medical Center, New York (Dr Liebmann).