Purposes To present a case series of a new technique to repair late bleb le
aks.
Designs:Retrospective, noncomparative, consecutive case series.
Participants: Forty-seven autologous conjunctival resurfacings of late bleb
leaks were performed by four surgeons at two institutions.
Methods: Autologous conjunctival grafts were placed over existing de-epithe
lialized leaking blebs.
Main Outcome Measures: Leak-free, Seidel-negative blebs and controlled glau
coma.
Results: After a mean follow-up of 14 +/- 12 months, one patient continued
to have bleb leak at the last follow-up, and one frank leak resolved with a
queous suppression. Intraocular pressure increased from 6.6 +/- 4.4 mmHg (0
.13 glaucoma medications) to 11.9 +/- 4.1 mmHg (0.41 glaucoma medications).
Conclusions: Conjunctival resurfacing with autologous tissue is an effectiv
e technique to repair late bleb leaks. Ophthalmology 2000;107:1675-1680 (C)
2000 by the American Academy of Ophthalmology.