[The effect of filtering operations (author's transl)]

Klin Monbl Augenheilkd. 1977 Jan;170(1):10-9.
[Article in German]

Abstract

The effect of filtering operations on 133 eyes was investigated by fluorescence photography after intracameral injection of fluorescein. The following drainage mechanisms could be found: 1. the transconjunctival route, 2. the diffuse resorption through degenerated veins, 3. bulkflow through lymphatic vessels, 4. bulkflow through atypic aqueous veins, 5. outflow through normal aqueous veins. A filtering bleb develops, if the transconjunctival route and the diffuse resorption is predominent. Newly incorporated veins and lymphatic vessels enable the drainage of the aqueous humour without a visible bleb. Most important for the formation of these vessels is the surgical technique. Therefore it is not only necessary to cover the fistula with a scleral flap but also to gain a physiological intraocular pressure immediately after the operation. If the tension is too low in most cases a filtering bleb will form. If it is at a physiological level (i.c. above the episcleral vein pressure) new vessels can develop and drain the aqueous humour by bulkflow from the scleral fistula and that means a good pressure regulating effect without a filtering bleb.

Publication types

  • English Abstract

MeSH terms

  • Aqueous Humor / physiology*
  • Conjunctiva / physiology
  • Eye / blood supply
  • Fluoresceins
  • Glaucoma / physiopathology
  • Glaucoma / surgery*
  • Humans
  • Intraocular Pressure
  • Kinetics
  • Lymphatic System / physiology
  • Trabecular Meshwork / surgery*
  • Veins

Substances

  • Fluoresceins