Cyanoacrylate tissue glue for wound repair in early posttrabeculectomy conjunctival bleb leak: a case series

We demonstrated a noninvasive management of early bleb leak following trabeculectomy using cyanoacrylate tissue glue (CATG). Three patients who underwent augmented trabeculectomy with mitomycin C with early bleb leak between January 2009 and June 2010 were reviewed. Case 1 and Case 2 exhibited bleb...

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Main Authors: Abdul Rahim, Haslinda, Yaakub, Azhany, Rasid, Noor Khairul, Embong, Zunaina, Ahmad Tajudin, Liza Sharmini
Format: Article
Language:English
Published: Dove Medical Press 2015
Subjects:
Online Access:http://eprints.usm.my/38603/1/Cyanoacrylate_tissue_glue_for_wound_repair_in_early_posttrabeculectomy_conjunctival_bleb_leak.pdf
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author Abdul Rahim, Haslinda
Yaakub, Azhany
Rasid, Noor Khairul
Embong, Zunaina
Ahmad Tajudin, Liza Sharmini
author_facet Abdul Rahim, Haslinda
Yaakub, Azhany
Rasid, Noor Khairul
Embong, Zunaina
Ahmad Tajudin, Liza Sharmini
author_sort Abdul Rahim, Haslinda
collection USM
description We demonstrated a noninvasive management of early bleb leak following trabeculectomy using cyanoacrylate tissue glue (CATG). Three patients who underwent augmented trabeculectomy with mitomycin C with early bleb leak between January 2009 and June 2010 were reviewed. Case 1 and Case 2 exhibited bleb leak on postoperative Day 1 and Case 3 showed leak on follow-up at postoperative Day 7. Case 1 was successfully sealed with CATG at postoperative Day 3, after failed pressure padding and bandage contact lens. Case 2 was successfully sealed with CATG at postoperative Day 3, after failed pressure padding and conjunctiva flap resuturing. In Case 3, the leaking conjunctival flap was managed with combined techniques of resuturing and applying CATG at postoperative Day 9, after failed pressure padding. During leakage, the intraocular pressure was low (6–8 mmHg) in all three cases, with shallow anterior chamber depth and absence of other complications such as choroidal detachment, hypotony maculopathy, or endophthalmitis. Foreign body sensation was the main complaint following the procedure. No clinical allergy reaction was documented. CATG may serve as a potential adjunctive and effective method in the management of posttrabeculectomy early bleb leak.
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spelling usm.eprints-386032018-01-30T06:01:55Z http://eprints.usm.my/38603/ Cyanoacrylate tissue glue for wound repair in early posttrabeculectomy conjunctival bleb leak: a case series Abdul Rahim, Haslinda Yaakub, Azhany Rasid, Noor Khairul Embong, Zunaina Ahmad Tajudin, Liza Sharmini RE Ophthalmology We demonstrated a noninvasive management of early bleb leak following trabeculectomy using cyanoacrylate tissue glue (CATG). Three patients who underwent augmented trabeculectomy with mitomycin C with early bleb leak between January 2009 and June 2010 were reviewed. Case 1 and Case 2 exhibited bleb leak on postoperative Day 1 and Case 3 showed leak on follow-up at postoperative Day 7. Case 1 was successfully sealed with CATG at postoperative Day 3, after failed pressure padding and bandage contact lens. Case 2 was successfully sealed with CATG at postoperative Day 3, after failed pressure padding and conjunctiva flap resuturing. In Case 3, the leaking conjunctival flap was managed with combined techniques of resuturing and applying CATG at postoperative Day 9, after failed pressure padding. During leakage, the intraocular pressure was low (6–8 mmHg) in all three cases, with shallow anterior chamber depth and absence of other complications such as choroidal detachment, hypotony maculopathy, or endophthalmitis. Foreign body sensation was the main complaint following the procedure. No clinical allergy reaction was documented. CATG may serve as a potential adjunctive and effective method in the management of posttrabeculectomy early bleb leak. Dove Medical Press 2015 Article PeerReviewed application/pdf en http://eprints.usm.my/38603/1/Cyanoacrylate_tissue_glue_for_wound_repair_in_early_posttrabeculectomy_conjunctival_bleb_leak.pdf Abdul Rahim, Haslinda and Yaakub, Azhany and Rasid, Noor Khairul and Embong, Zunaina and Ahmad Tajudin, Liza Sharmini (2015) Cyanoacrylate tissue glue for wound repair in early posttrabeculectomy conjunctival bleb leak: a case series. International Medical Case Reports Journal, 2015 (8). pp. 145-150. ISSN 1179-142X http://dx.doi.org/10.2147/IMCRJ.S83821
spellingShingle RE Ophthalmology
Abdul Rahim, Haslinda
Yaakub, Azhany
Rasid, Noor Khairul
Embong, Zunaina
Ahmad Tajudin, Liza Sharmini
Cyanoacrylate tissue glue for wound repair in early posttrabeculectomy conjunctival bleb leak: a case series
title Cyanoacrylate tissue glue for wound repair in early posttrabeculectomy conjunctival bleb leak: a case series
title_full Cyanoacrylate tissue glue for wound repair in early posttrabeculectomy conjunctival bleb leak: a case series
title_fullStr Cyanoacrylate tissue glue for wound repair in early posttrabeculectomy conjunctival bleb leak: a case series
title_full_unstemmed Cyanoacrylate tissue glue for wound repair in early posttrabeculectomy conjunctival bleb leak: a case series
title_short Cyanoacrylate tissue glue for wound repair in early posttrabeculectomy conjunctival bleb leak: a case series
title_sort cyanoacrylate tissue glue for wound repair in early posttrabeculectomy conjunctival bleb leak a case series
topic RE Ophthalmology
url http://eprints.usm.my/38603/1/Cyanoacrylate_tissue_glue_for_wound_repair_in_early_posttrabeculectomy_conjunctival_bleb_leak.pdf
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