%0 Journal Article
%T Escape tard赤o de la bula de filtraci車n a prop車sito de un caso Late onset of leaking filtering bleb in a case
%A Yuderkys D赤az 芍guila
%A Mar赤a Teresa Ferrer Guerra
%A Isabel Obret Mendive
%A Liamet Fern芍ndez Argones
%J Revista Cubana de Oftalmologˋ-a
%D 2012
%I Editorial Ciencias M谷dicas
%X Paciente masculino de 48 a os, de color de la piel mestizo, al que se le realiz車 trabeculectom赤a con antimetabolito en su ojo derecho con da o glaucomatoso avanzado y atrofia 車ptica glaucomatosa en su ojo izquierdo. Tres a os despu谷s acude a consulta de seguimiento con escape tard赤o de la ampolla de filtraci車n, perforaci車n escleral y ligera hipoton赤a ocular. Surge la disyuntiva entre realizar recubrimiento de la ampolla con trasplante conjuntival aut車logo, con el riesgo de elevaci車n posterior de la presi車n intraocular por encima de su valor meta, y no practicar tratamiento quir迆rgico con elevada posibilidad de endoftalmitis. Se realiz車 el proceder y en el seguimiento se constat車 un injerto conjuntival bien adaptado y vascularizado, con presi車n intraocular inferior a 15 mmHg en cada consulta y no progresi車n del da o glaucomatoso. The case of a 48 years-old male patient was presented. He underwent trabeculectomy with antimetabolites to treat advanced glaucomatous damage in his right eye and optical glaucomatous atrophy in his left eye. After three years, he went to the follow-up medical service with late-onset of leaking filtering bleb, sclera perforation and slight ocular hypotony. The dilemma of covering the bleb with conjunctival autologous graft, with the risk of raised intraocular pressure over the target value o non-performance of the surgical treatment with high possibility of endophthalmitis was present. It was decided to apply the surgical procedure. The follow-up showed a well-adapted and vascularized conjunctival graft and intraocular pressure lower than 15 mm Hg in each medical appointment, without advance in glaucomatous damage.
%K trabeculectom赤a
%K antimetabolito
%K escape tard赤o
%K recubrimiento de la ampolla
%K trabeculectomy
%K antimetabolites
%K late onset leaking bleb
%K conjunctival autologous graft
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762012000300016