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Updates on the utility of anterior segment optical coherence tomography in the assessment of filtration blebs after glaucoma surgery.

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Kudsieh B
  • Fernández-Vigo JI
  • Canut Jordana MI
  • Urcola JA
  • Ruiz Moreno JM
  • García-Feijóo J
  • Fernández-Vigo JÁ

Abstract

The formation of filtration blebs is the main drainage mechanism for reducing intraocular pressure after traditional incisional glaucoma surgery such as trabeculectomy and non-penetrating deep sclerotomy. Early and short-lasting blebs may also occur after canaloplasty. Bleb formation also plays an important role after the implantation of glaucoma drainage devices, including Minimally Invasive Glaucoma Surgery devices. Anterior segment optical coherence tomography (AS-OCT) is a rapid and non-invasive high-resolution imaging technique that has evolved in recent years to become a routine examination. Anterior segment optical coherence tomography (AS-OCT) provides key information in the assessment and follow-up of glaucoma surgery, especially in the assessment of filtration blebs. Thus, bleb morphology can be qualitatively classified into diffuse, cystic, encapsulated and flattened, and AS-OCT imaging can also provide several quantitative parameters of the bleb, such as total bleb height, bleb fluid-filled cavity height, bleb wall thickness, number of microcysts and trabeculectomy opening size. These parameters could have an impact on clinical management during follow-up because they may predict the success or failure of the surgery in the early and late postoperative periods. Additionally, they may also guide the procedures used to increase filtration and reduce intraocular pressure, such as bleb needling and laser suture lysis.

© 2021 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Datos de la publicación

ISSN/ISSNe:
1755-375X, 1755-3768

ACTA OPHTHALMOLOGICA  WILEY-BLACKWELL

Tipo:
Article
Páginas:
29-37
Factor de Impacto:
1,314 SCImago ℠
Cuartil:
Q1 SCImago ℠

Citas Recibidas en Web of Science: 9

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Keywords

  • anterior segment, bleb morphology, filtration bleb, minimally invasive glaucoma surgery, ocular coherence tomography, trabeculectomy

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