Bleb resuscitation of failing, leaking and dysfunctional blebs: A review
The success of trabeculectomy surgery depends on the longevity of the filtering bleb. Bleb failure can be categorized into two types: the scarred bleb with high intraocular pressure or the over-filtering and leaking bleb with low intraocular pressure. Bleb scarring is an insidious process over time...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-03-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_1233_24 |
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| author | Arshi Singh Kirti Singh Aastha Singh |
| author_facet | Arshi Singh Kirti Singh Aastha Singh |
| author_sort | Arshi Singh |
| collection | DOAJ |
| description | The success of trabeculectomy surgery depends on the longevity of the filtering bleb. Bleb failure can be categorized into two types: the scarred bleb with high intraocular pressure or the over-filtering and leaking bleb with low intraocular pressure. Bleb scarring is an insidious process over time as a consequence of excessive subconjunctival fibrosis. Timely recognition and early intervention utilizing a stepped-up approach are important for resuscitating the bleb and salvaging the trabeculectomy. Over-filtration and leaky bleb on the other end of the spectrum lead to failure of optimal bleb function and require a different management approach. This review discusses in detail various surgical techniques to revive dysfunctional blebs with a special focus on bleb needling. Timely identification and multifaceted management of bleb-related complications is the key to ultimately improving long-term success rates and patient outcomes. |
| format | Article |
| id | doaj-art-df264d6c5e474a15a6dc7eb3c86953b4 |
| institution | DOAJ |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-df264d6c5e474a15a6dc7eb3c86953b42025-08-20T03:02:10ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-03-0173Suppl 2S197S20610.4103/IJO.IJO_1233_24Bleb resuscitation of failing, leaking and dysfunctional blebs: A reviewArshi SinghKirti SinghAastha SinghThe success of trabeculectomy surgery depends on the longevity of the filtering bleb. Bleb failure can be categorized into two types: the scarred bleb with high intraocular pressure or the over-filtering and leaking bleb with low intraocular pressure. Bleb scarring is an insidious process over time as a consequence of excessive subconjunctival fibrosis. Timely recognition and early intervention utilizing a stepped-up approach are important for resuscitating the bleb and salvaging the trabeculectomy. Over-filtration and leaky bleb on the other end of the spectrum lead to failure of optimal bleb function and require a different management approach. This review discusses in detail various surgical techniques to revive dysfunctional blebs with a special focus on bleb needling. Timely identification and multifaceted management of bleb-related complications is the key to ultimately improving long-term success rates and patient outcomes.https://journals.lww.com/10.4103/IJO.IJO_1233_24bleb leakbleb revisionencapsulated blebfailing blebneedlingover-filtering blebtrabeculectomy |
| spellingShingle | Arshi Singh Kirti Singh Aastha Singh Bleb resuscitation of failing, leaking and dysfunctional blebs: A review Indian Journal of Ophthalmology bleb leak bleb revision encapsulated bleb failing bleb needling over-filtering bleb trabeculectomy |
| title | Bleb resuscitation of failing, leaking and dysfunctional blebs: A review |
| title_full | Bleb resuscitation of failing, leaking and dysfunctional blebs: A review |
| title_fullStr | Bleb resuscitation of failing, leaking and dysfunctional blebs: A review |
| title_full_unstemmed | Bleb resuscitation of failing, leaking and dysfunctional blebs: A review |
| title_short | Bleb resuscitation of failing, leaking and dysfunctional blebs: A review |
| title_sort | bleb resuscitation of failing leaking and dysfunctional blebs a review |
| topic | bleb leak bleb revision encapsulated bleb failing bleb needling over-filtering bleb trabeculectomy |
| url | https://journals.lww.com/10.4103/IJO.IJO_1233_24 |
| work_keys_str_mv | AT arshisingh blebresuscitationoffailingleakinganddysfunctionalblebsareview AT kirtisingh blebresuscitationoffailingleakinganddysfunctionalblebsareview AT aasthasingh blebresuscitationoffailingleakinganddysfunctionalblebsareview |