Filtering Bleb Complications Follow-up

Updated: Jan 08, 2015
  • Author: Carlo E Traverso, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Follow-up

Further Outpatient Care

Specialist and subspecialist care is recommended, tailored to both the type and the severity of the complication.

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Deterrence/Prevention

Conjunctival buttonholes and tears, dehiscence, and retraction of the conjunctival incision are usually a result of suboptimal surgical techniques.

Care must be taken in handling the tissues, and meticulous suturing techniques need to be used. Attention to detail is paramount in the prevention of these problems.

Dehiscence and retraction are almost unavoidable when using absorbable sutures in conjunction with antimetabolites.

The use of a larger area for the application of antimetabolites reduces the occurrence of small ischemic blebs, which are more prone to complications.

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Complications

Potential complications include the following:

  • Loss of vision

  • Loss of bleb function

  • Hypotony

  • Loss of anatomical integrity of the globe

  • Phthisis

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Prognosis

Prognosis is favorable with prompt treatment.

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Patient Education

Instruct patients undergoing filtration surgery to report immediately to an ophthalmologist at any time after surgery if persisting redness, discharge, decreased vision, or pain occurs.

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