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Management of Overfiltering and Leaking Blebs With Autologous Blood Injection-Reply

Management of Overfiltering and Leaking Blebs With Autologous Blood Injection-Reply Abstract In reply Complications associated with intrableb autologous blood injection have included hyphema formation, vitreous hemorrhage,1 and intraocular pressure spikes. Dr Chen et al describe an unusual case, in which an eye with a penetrating keratoplasty and recurrent toxoplasma retinochoroiditis underwent four intrableb autologous blood injections for management of postfiltration hypotony. Viscoelastic had not been injected intracamerally prior to the blood injections, and blood was noted in the anterior chamber after each procedure. This was followed by an episode of graft failure and reactivation of toxoplasma retinochoroiditis.The authors suggest that these adverse events may have been potentiated by intrableb autologous blood injection with spillover of blood into the anterior chamber. Although the graft failure related to blood in the anterior chamber may be an interesting possibility, it may also be a circumstantial one. In this complex eye, graft rejection may have been precipitated by factors such as prolonged hypotony, References 1. Zaltas MM, Schuman JS. A serious complication of intrableb injection of autologous blood for the treatment of postfiltration hypotony . Am J Ophthalmol . 1994;118:251-253. 2. Smith MF, Magauran RG, Betchkal J, Doyle JW. Treatment of postfiltration bleb leaks with autologous blood . Ophthalmology . 1995;102:868-871.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Management of Overfiltering and Leaking Blebs With Autologous Blood Injection-Reply

Leen, Martha Motuz
Archives of Ophthalmology , Volume 114 (5) – May 1, 1996
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Management of Overfiltering and Leaking Blebs With Autologous Blood Injection-Reply

Abstract

Abstract In reply Complications associated with intrableb autologous blood injection have included hyphema formation, vitreous hemorrhage,1 and intraocular pressure spikes. Dr Chen et al describe an unusual case, in which an eye with a penetrating keratoplasty and recurrent toxoplasma retinochoroiditis underwent four intrableb autologous blood injections for management of postfiltration hypotony. Viscoelastic had not been injected intracamerally prior to the blood injections, and blood was...
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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1996.01100130625034
Publisher site
See Article on Publisher Site

Abstract

Abstract In reply Complications associated with intrableb autologous blood injection have included hyphema formation, vitreous hemorrhage,1 and intraocular pressure spikes. Dr Chen et al describe an unusual case, in which an eye with a penetrating keratoplasty and recurrent toxoplasma retinochoroiditis underwent four intrableb autologous blood injections for management of postfiltration hypotony. Viscoelastic had not been injected intracamerally prior to the blood injections, and blood was noted in the anterior chamber after each procedure. This was followed by an episode of graft failure and reactivation of toxoplasma retinochoroiditis.The authors suggest that these adverse events may have been potentiated by intrableb autologous blood injection with spillover of blood into the anterior chamber. Although the graft failure related to blood in the anterior chamber may be an interesting possibility, it may also be a circumstantial one. In this complex eye, graft rejection may have been precipitated by factors such as prolonged hypotony, References 1. Zaltas MM, Schuman JS. A serious complication of intrableb injection of autologous blood for the treatment of postfiltration hypotony . Am J Ophthalmol . 1994;118:251-253. 2. Smith MF, Magauran RG, Betchkal J, Doyle JW. Treatment of postfiltration bleb leaks with autologous blood . Ophthalmology . 1995;102:868-871.Crossref

Journal

Archives of Ophthalmology – American Medical Association

Published: May 1, 1996

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