Treatment of Encapsulated Blebs with Slit-Lamp Needling and Subconjunctival Interferon Injection

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Purpose:To investigate the efficacy and safety of slit-lamp needle revision with subconjunctival interferon injection in eyes with encapsulated blebs.Methods:We reviewed a series of 25 cases(27 eyes) in which primary needling with 5×105 IFN α-2b injection was performed for bleb encapsulation and analysed the results over a follow-up period of at least 12 months.Results:The mean time to development of encapsulated blebs after the surgery was 23.85±10.66 days(9 to 60 days).The mean IOP decreased significantly from 22.51±5.30 mm Hg at diagnosis of encapsulated blebs to 17.26±7.72 mm Hg at the last visit(P=0.009).Of the 27 eyes,15(55.56%) achieved a successful result,10(37.04%) were qualified for success and the remaining 2(7.4%) were considered as failure.The qualified success group took 1.70±0.67 antiglaucoma medications.No serious complications were detected.Conclusion:The needling procedure associated with subconjuctival injection of IFN α-2b is a safe and effective method in treating encapsulated blebs. Purpose: To investigate the efficacy and safety of slit-lamp needle revision with subconjunctival interferon injection in eyes with encapsulated blebs. Methods: We reviewed a series of 25 cases (27 eyes) in which primary needling with 5 × 10 5 IFN α-2b injection was performed for bleb encapsulation and analyzed the results over a follow-up period of at least 12 months. Results: The mean time to development of encapsulated blebs after the surgery was 23.85 ± 10.66 days (9 to 60 days). Significantly from 22.51 ± 5.30 mm Hg at diagnosis of encapsulated blebs to 17.26 ± 7.72 mm Hg at the last visit (P = 0.009). Of the 27 eyes, 15 (55.56%) achieved a successful result, 10 (37.04%) were qualified for success and the remaining 2 (7.4%) were considered as failure. qualified success group took 1.70 ± 0.67 antiglaucoma medications. No serious complications were detected. Confluence: The needling procedure associated with subconjuctival injection of IFNα-2b is a safe and effective method in tr eating encapsulated blebs.
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