Biplanar sclerostomy spatula used for ab interno bleb revisions

Researchers found that an ab interno translimbal bleb revision in eyes with a previously failed trabeculectomy can be safely performed with a biplanar sclerostomy spatula. The retrospective chart review included 21 eyes of 21 patients who underwent the bleb revision with a Grover-Fellman biplanar sclerostomy spatula; all patients received mitomycin C at least 1 week before the operation. At 12 months’ follow-up, the average IOP was 12.1 mm Hg, decreased from 21.9 mm Hg at baseline, and 0.86 medications, down from 3.7.

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