Combined conjunctival relieving incisions and advancement for the repair of late-onset leaking trabeculectomy blebs.

PURPOSE: To describe a surgical technique for the repair of late-onset leaking blebs.

METHODS

A surgical technique is described followed by a retrospective review of 5 clinical cases. All patients had a minimum of 12 months follow up.

RESULTS

In all cases the leaks were successfully closed and bleb function was maintained. Of 5 patients, 3 required subsequent topical glaucoma medication though none required further drainage surgery. The mean intraocular pressure at last follow up was 16 mm Hg (range 10 to 27 mm Hg).

CONCLUSIONS

This technique can be considered as an option for patients who require surgical revision for a leaking trabeculectomy bleb.