Open Access Case report

Human pericardium graft in the management of bleb's complication performed in childhood: a case report

Dimitris Papaconstantinou, Ilias Georgalas, Sergios Taliantzis*, Chrysanthi Koutsandrea, Ioannis Ladas and Gerassimos Georgopoulos

Author Affiliations

Department of Glaucoma, Athens University Medical School, Athens, Greece

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BMC Ophthalmology 2011, 11:27  doi:10.1186/1471-2415-11-27

Published: 20 September 2011

Abstract

Background

To report a case with hypotony due to late leakage of the filtering bleb performed during childhood and treated surgically using human pericardium graft.

Case Presentation

A man with hypotony related to bleb's leakage in his right eye was presented. During his childhood trabeculectomy was performed to manage ocular hypertension due to pediatric glaucoma. Biomicroscopy revealed choroidal tissue incarcerated in the sclerectomy under the conjunctiva. Bleb revision was performed. Human pericardium graft was used to cover the sclerectomy and a new bleb with controlled outflow was created. The intraocular pressure (IOP) and Seidel test represent the main outcomes. Intraoperative and postoperative complications were recorded. Fifteen days postoperatively the IOP was of 7 mmHg and the bleb seemed to filter properly. Five months later the IOP was 9 mmHg and no complications were noticed. During the follow up time, the Seidel test was negative.

Conclusion

We used human pericardium graft with no complications in a case of bleb leakage performed for pediatric glaucoma.

Keywords:
late bleb leakage; human pericardium; bleb revision; pediatric glaucoma