%0 Journal Article %T Revisi車n por aguja de la bula de filtraci車n, una alternativa terap谷utica en pacientes trabeculectomizados Needle review of the filtering bleb as an alternative in the treatment of patients undergoing trabeculectomy %A Elizabeth Arzuaga Hern芍ndez %A Francisco Fumero Gonz芍lez %A Sahiris Gonz芍lez Piloto %A Maikel Batista Peˋa %J Revista Cubana de Oftalmologˋ-a %D 2012 %I Editorial Ciencias M谷dicas %X La trabeculectom赤a es generalmente un procedimiento exitoso para reducir la presi車n intraocular en pacientes con glaucoma. Sin embargo, el fallo de la ampolla de filtraci車n puede ocurrir y provocar un incremento de la presi車n intraocular. Esto conllevar赤a a una intervenci車n m谷dica o quir迆rgica adicional. Se realiza una revisi車n bibliogr芍fica sobre la cistitom赤a transconjuntival, asociada al uso de antimetabolitos (mitomicina C o 5-fluorouracilo) o no. Se demuestra que es m赤nimamente invasiva, con escasas complicaciones y que constituye un m谷todo eficaz, f芍cil y barato para restablecer el drenaje acuoso y disminuir la presi車n intraocular. Trabeculectomy is usually a successful procedure to reduce intraocular pressure in glaucoma patients. However, the failure of the filtering bleb can occur, leading to increased intraocular pressure and to a further medical or surgical intervention. A literature review on transconjunctival cystotomy, with or without the use of mitomycin C or 5-fluorouracil, was made. It was demonstrated that this method is minimally invasive with few complications, effective, easy-to-apply and inexpensive to restore aqueous drainage and lowering intraocular pressure. %K ampolla encapsulada %K bula de filtraci車n %K aguja %K fallo de bula %K mitomicina C %K 5-fluorouracilo %K encapsulated blebs %K filtering bleb %K needle %K failing bleb %K mitomycin C %K 5-fluorouracil %U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762012000300006