Treatment of patients with late complications after filtering surgery

Abstract

Purpose: Demonstrate the possibilities of successful surgical treatment of patients with late complications after filtering surgery. Methods: This study shows patients who have developed a cystically dilated or leaking filtering bleb in the late post‐surgical period after filtering surgery. Excision of the indadequate filtering bleb has been performed in the patient with a cystic bleb. After the failure of less invasive methods of treatment, we have proceeded to bleb revision with a scleral patch graft in the patient with a leaking bleb. Results: Patients treated with either bleb excision or scleral patch graft showed no signs of neither hypotonia nor secretion during the six‐months post‐surgical period. During that period, complicated cataracts developed. After cataract surgery the function of the filtering bleb was preserved. Conclusions: During the several months of patients' follow‐up, reconstructive methods of treatment have shown to be successful in high‐risk patients who have developed post‐surgical complications in the form of leaking or inadequate filtering bleb.

Efficacy of the efficacy between dexamethasone versus triamcinolone acetonide after cataract surgery: A systematic review and meta-analysis

“…[9] However, since commonly used dexamethasone in the water-soluble form of phosphate ester (dexamethasone phosphate) is to be administered as eye drops multiple times a day for several weeks postoperatively, patient compliance plays a crucial role in treatment. [10,11] However, compliance with the regulated use of eye drops may be unpredictable in the elderly cataract surgery patient population. [12] Studies have reported non-adherence to regulated eye drop therapy ranging from 5% to 80%.…”