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Letter
Late bleb needling
  1. C T Ung,
  2. H Von Lany,
  3. K G Claridge
  1. Taunton and Somerset NHS Trust, Musgrove Park, Taunton TA1 5DA, UK
  1. Correspondence to: Ms Katherine Claridge Taunton and Somerset NHS Trust, Musgrove Park, Taunton TA1 5DA, UK; kate.claridgetst.nhs.uk

https://doi.org/10.1136/bjo.87.11.1430

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    Surgical manipulation of the trabeculectomy bleb has become a recognised postoperative procedure to increase the success of glaucoma surgery. The first needling revision of a glaucoma drainage bleb was described in 19411 and there are several reports of the successful restoration of failing blebs within the first 3 years following trabeculectomy.2–6

    We report the results of five cases of late bleb needling with 5-fluorouracil (5-FU) where trabeculectomy had been performed between 8 and 30 years earlier.

    Case reports

    The demographic details of all cases are summarised in Table 1.

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    Table 1

    Demographic details of patients

    Glaucoma surgery had taken place between 8 and 31 years before bleb needling and in no case had antimitotics been used at the original surgery. Before bleb needling the average intraocular pressure (IOP) among the patients was 29.4 …

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