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CLINICAL PRACTICE
Year : 2018  |  Volume : 11  |  Issue : 1  |  Page : 94-96

Bleb needling with subconjunctival ologen insertion using IOL cartridge


1 Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All Institute of Medical Sciences, New Delhi, India
2 Glaucoma Specialist, Fortis Memorial Research Institute, Gurgaon, Haryana, India

Correspondence Address:
Dewang Angmo
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, Room No. S-1, First Floor, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.OJO_159_2015

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We describe a novel technique to bleb needling by injecting subconjunctival ologen through an intraocular lens (IOL) delivery system to modulate wound healing in a failing filter. Bleb needling with 26G needle was performed, followed by subconjunctival injection of a biodegradable collagen implant using an IOL delivery system with cartridge in two eyes with a failing filter and high intraocular pressure (IOP). Postoperatively, the bleb was diffusely elevated, and the IOP was maintained between 10 and 14 mmHg at 6 weeks, 3 and 6 months follow-up. Therefore, bleb needling augmented with a biodegradable collagen implant inserted through an IOL injector system is a useful option in the management of failing filter posttrabeculectomy.


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