Conjunctival collagen crosslinking for the management of bleb leak

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Date
2023-01
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
The purpose of this article is to evaluate the effectiveness of collagen crosslinking of filtering blebs with 0.1% riboflavin stimulated with ultraviolet A radiation in a case of a thin-walled filtering bleb with leakage following an episode of late blebitis. The time to cessation of the bleb leakage was studied, as well as the intraocular pressure, the visual acuity, and the presence of adverse effects during 4 years of follow-up after treatment. A single session of crosslinking was effective in resolving the leakage of the filtering bleb. There were no adverse effects. The intraocular pressure and the visual acuity remained stable after 4 years of follow-up. Collagen crosslinking with 0.1% riboflavin stimulated with ultraviolet A radiation may prove to be a simple, painless, non-invasive, and repeatable treatment of the leaking bleb with the aim of strengthening the collagen fibers of the conjunctiva and avoiding more invasive surgical treatments.
Description
Keywords
Bleb leak, collagen crosslinking, riboflavin, trabeculectomy
Citation
Lázaro-Rodríguez Víctor, Casado-López Daniel, Tolosa Francisco Ruiz. Conjunctival collagen crosslinking for the management of bleb leak. Indian Journal of Ophthalmology. 2023 Jan; 71(1): 276-279