Review Article

Anterior Segment Optical Coherence Tomography Imaging of Conjunctival Filtering Blebs after Glaucoma Surgery

Figure 2

Functioning filtering blebs. Functioning blebs, after MMC-augmented trabeculectomy, present a diffuse (a) or a cystic shape (b) at clinical evaluation. At AS-OCT (Visante OCT) these blebs show a patent and low reflective inner cavity (asterisks) (c and d), multilobed in the cystic shape, and a thick and low reflective bleb wall. In vivo laser scanning confocal microscopy (e) shows numerous intraepithelial microcysts in a glaucomatous patient after successful MMC-augmented trabeculectomy (planar reconstruction of the superior bulbar conjunctiva 6 weeks after surgery). (e: from Ciancaglini et al., [15] with permission from the publisher).
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(a)
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(b)
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(c)
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(d)
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(e)