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Bleb survival ‘our primary goal,’ glaucoma surgeon says
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LAS VEGAS — A low bleb profile and low IOP after filtering surgery are complications that must be addressed immediately by the surgeon to assure a good result, said Eydie Miller-Ellis, MD.
In glaucoma filtering surgery, “bleb survival is our primary goal,” she said.
Dr. Miller-Ellis spoke here at the Ocular Surgery News Symposium, Glaucoma: Improving Your Odds.
She advised surgeons always to treat low bleb profile and low IOP aggressively, “to aid visual recovery and to preserve bleb function.”
Dr. Miller-Ellis said that in managing low IOP after filtration, antimetabolites should be used cautiously and that the patient’s medications should be reviewed carefully. She said inflammatory responses should be evaluated and treated promptly and that the surgeon should always check for conjunctival leaks.