Soft Bandage Contact Lenses in Management of Early Bleb Leak Following Trabeculectomy.

眼科学报 Pub Date : 2015-03-01

Zhenggen Wu, Chukai Huang, Yuqiang Huang, Wanqi Zhang, Di Ma

{"title":"Soft Bandage Contact Lenses in Management of Early Bleb Leak Following Trabeculectomy.","authors":"Zhenggen Wu, Chukai Huang, Yuqiang Huang, Wanqi Zhang, Di Ma","doi":"","DOIUrl":null,"url":null,"abstract":"Purpose: To investigate the efficacy of a soft bandage contact lens in the management of early bleb leak following trabeculectomy.Methods: Between October 2011 and April 2013, 11 patients with early bleb leak following fornix-based trabeculectomy were instructed to wear a soft bandage contact lens 14 mm in diameter continuously for 1-2 weeks. The daily visual acuity, intraocular pressure (IOP), anterior chamber situation, and healing condition were measured at 1, 3, and 7 d, after con tact lens removal, and 3 months after trabeculectomy. The conditions of blebs, sensation of wearing contact lens, and adverse events were recorded.Results: Bleb leaks were observed at 2-8 d after surgery, (4.09 ± 1.10 d on average). The daily LogMAR visual acuity did not significantly differ before and after contact lens wear (P > 0.05). The IOP was significantly raised after at 1, 3, and 7 d after lens wear (all P < 0.05).The IOP at 3 months after lens wear did not significantly differ from that measured at lens removal (t = 1.191, P = 0.089). At 1 d after lens wear, 6 cases had deeper anterior chambers. All patients presented with a significantly deepened anterior chamber at 3 d after lens wear, and were restored to the preoperative conditions. The bleb leakage was successfully treated at 7 d after lens removal in 10 patients, while 1 patient had to wear the contact lens for another 7 d for full healing of the bleb leak. No ocular infection was noted throughout the management.Conclusion: A soft bandage contact lens of 14 mm diameter is a safe and efficacious therapy for an early bleb leak following fornix-based trabeculectomy.","PeriodicalId":12096,"journal":{"name":"眼科学报","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"眼科学报","FirstCategoryId":"3","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To investigate the efficacy of a soft bandage contact lens in the management of early bleb leak following trabeculectomy.

Methods: Between October 2011 and April 2013, 11 patients with early bleb leak following fornix-based trabeculectomy were instructed to wear a soft bandage contact lens 14 mm in diameter continuously for 1-2 weeks. The daily visual acuity, intraocular pressure (IOP), anterior chamber situation, and healing condition were measured at 1, 3, and 7 d, after con tact lens removal, and 3 months after trabeculectomy. The conditions of blebs, sensation of wearing contact lens, and adverse events were recorded.

Results: Bleb leaks were observed at 2-8 d after surgery, (4.09 ± 1.10 d on average). The daily LogMAR visual acuity did not significantly differ before and after contact lens wear (P > 0.05). The IOP was significantly raised after at 1, 3, and 7 d after lens wear (all P < 0.05).The IOP at 3 months after lens wear did not significantly differ from that measured at lens removal (t = 1.191, P = 0.089). At 1 d after lens wear, 6 cases had deeper anterior chambers. All patients presented with a significantly deepened anterior chamber at 3 d after lens wear, and were restored to the preoperative conditions. The bleb leakage was successfully treated at 7 d after lens removal in 10 patients, while 1 patient had to wear the contact lens for another 7 d for full healing of the bleb leak. No ocular infection was noted throughout the management.

Conclusion: A soft bandage contact lens of 14 mm diameter is a safe and efficacious therapy for an early bleb leak following fornix-based trabeculectomy.

本刊更多论文

软性绷带隐形眼镜治疗小梁切除术后早期水泡渗漏。

目的:探讨软性绷带接触镜治疗小梁切除术后早期水泡渗漏的疗效。方法:2011年10月至2013年4月，对11例穹窿型小梁切除术后早期水泡渗漏患者，指导其连续配戴直径14mm的软性绷带接触镜1 ~ 2周。分别于取下隐形眼镜后第1、3、7天及小梁切除术后3个月测量每日视力、眼压、前房情况及愈合情况。记录水泡情况、佩戴隐形眼镜的感觉及不良事件。结果:术后2 ~ 8 d出现囊泡渗漏(平均4.09±1.10 d)。佩戴隐形眼镜前后每日LogMAR视力差异无统计学意义(P > 0.05)。佩戴后1、3、7 d的IOP均显著升高(P < 0.05)。佩戴晶状体3个月后的IOP与摘除晶状体时的IOP无显著差异(t = 1.191, P = 0.089)。晶状体磨损1 d后，6例前房加深。所有患者在晶状体磨损后3 d均出现明显加深的前房，并恢复到术前状态。10例患者在摘除晶状体后第7天成功治疗水泡渗漏，1例患者需再佩戴7天以使水泡渗漏完全愈合。整个治疗过程中未发现眼部感染。结论:直径14mm的软性绷带接触镜是治疗穹窿型小梁切除术后早期水泡渗漏安全有效的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

眼科学报

自引率

0.00%

发文量

1312

期刊介绍： Eye science was founded in 1985. It is a national medical journal supervised by the Ministry of Education of the People's Republic of China, sponsored by Sun Yat-sen University, and hosted by Sun Yat-sen University Zhongshan Eye Center (in October 2020, it was changed from a quarterly to a monthly, with the publication number: ISSN: 1000-4432; CN: 44-1119/R). It is edited by Ge Jian, former dean of Sun Yat-sen University Zhongshan Eye Center, Liu Yizhi, director and dean of Sun Yat-sen University Zhongshan Eye Center, and Lin Haotian, deputy director of Sun Yat-sen University Zhongshan Eye Center, as executive editor. It mainly reports on new developments and trends in the field of ophthalmology at home and abroad, focusing on basic research in ophthalmology, clinical experience, and theoretical knowledge and technical operations related to epidemiology. It has been included in important databases at home and abroad, such as Chemical Abstract (CA), China Journal Full-text Database (CNKI), China Core Journals (Selection) Database (Wanfang), and Chinese Science and Technology Journal Database (VIP).