RESEARCH ARTICLE Open Access Evaluation of filtering blebs.

Colour photographs were used to score the filtering bleb in accordance to the Wuerzburg bleb classification score by two different examiners. At the same visit, clinical data such as intraocular pressure, best corrected visual acuity, slit lamp biomicroscopy and medical history were obtained.

Morphologic Classification of Filtering Blebs after Glaucoma Filtration Surgery: The Indiana Bleb Appearance Grading Scale.

ICD-10 Code for Filtering (vitreous) bleb after glaucoma.

ICD-10 Code for Filtering (vitreous) bleb after glaucoma surgery status- Z98.83- AAPC Coder ICD-10 code Z98.83 for Filtering (vitreous) bleb after glaucoma surgery status is a medical classification as listed by WHO under the range -Persons w.Materials and Methods The Indiana Bleb Appearance Grading Scale contains a set of photographic standards illustrating a range of filtering bleb morphology selected from the slide library of the Glaucoma Service at the Indiana University Department of Ophthalmology.Colour photographs were used to score the filtering bleb in accordance to the Wuerzburg bleb classification score by two different examiners. At the same visit, clinical data such as intraocular pressure, best corrected visual acuity, slit lamp biomicroscopy and medical history were obtained by another examiner. Results: After trabeculectomy, 42 out of 57 eyes (73.7%) reached the target.


The development of the filtering blebs after trabeculectomy of 55 eyes was followed to establish a classification of filtering blebs with a score system. The number of microcysts, the amount of vascularization, the appearance of “corkscrew vessels”, encapsulation, and the height of the filtering bleb were evaluated semi-quantitatively. Two groups were defined: (1) eyes with a spontaneous.In clinical practice, follow-up of the filtering bleb according to a standardized morphologic classification may help to predict outcome and provide clues for the necessity and timing of further treatment.

A basic understanding of wound healing processes and histologic changes of the developing filtering bleb are mandatory to interpret correctly the morphologic appearance of the developing filtering bleb. In clinical practice, follow-up of the filtering bleb according to a standardized morphologic classification may help to predict outcome and provide clues for the necessity and timing of.

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Morphologic classification of filtering blebs after glaucoma filtration surgery: the Indiana Bleb Appearance Grading Scale. J Glaucoma. 2003; 12(3):266-71 (ISSN: 1057-0829) Cantor LB; Mantravadi A; WuDunn D; Swamynathan K; Cortes A. PURPOSE: To establish a new classification system for filtering blebs according to clinical morphologic parameters. The purpose of this classification system is to.

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Generally, filtering blebs are classified into three categories: cystic, diffuse and flat blebs. 1 2 A more precise classification system has been introduced recently. 3 The clinical features of well or poorly functioning blebs are well described. 4 5 6 However, evaluating bleb function by slit-lamp is not always accurate nor easy.

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Colour photographs were used to score the filtering bleb in accordance to the Wuerzburg bleb classification score by two different examiners. At the same visit, clinical data such as intraocular pressure, best corrected visual acuity, slit lamp biomicroscopy and medical history were obtained by another examiner.ResultsAfter trabeculectomy, 42 out of 57 eyes (73.7%) reached the target pressure.

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BACKGROUND: the Wuerzburg bleb classification score (WBCS) aims at an objective and standardized assessment of the developing filtering bleb after trabeculectomy, in order to detect and treat bleb scarring at the earliest possible stage of development. The purpose of this retrospective study was to evaluate the prognostic value of the early postoperative WBCS for the long-term outcome of.

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Bleb dysesthesia is a rare complication of filtering glaucoma surgery. This modified bleb-limiting conjunctivoplasty technique (with removal of subjacent fibrous tissue if present) is able to target the underlying etiology providing ocular discomfort relief while maintaining bleb function and may be considered as first-choice surgical treatment.

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Ciancaglini et al., in a study that proposed a combined clinical and instrumental approach to evaluate the filtering bleb functionality, found a good degree of concordance between the clinical and AS-OCT bleb classification, particularly for the cystic (100%) and diffuse (74%) patterns. Thus, AS-OCT may support clinicians in correctly classifying blebs. In the same study, the use of MMC.

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Previous filtering bleb failure; Long-term medical therapy; Neovascular glaucoma; Intraoperative complications (e.g. iris or ciliary process incarceration in the trabeculectomy fistula). Early signs of a failing filtering bleb: Gradual IOP elevation during the first 2-4 weeks; Excessive vascularization of the bleb; Flattening of the bleb with the disappearance of microcysts in the bleb.

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The survival rate of a filtering bleb was significantly higher in group A than in groups B, C, or D, but the survival rate in group B was not higher than groups C or D. No adverse effects were clinically observed in the ocular tissue, such as the cornea and conjunctiva. Conclusions. The combined treatment with EP and bleomycin was found to decrease IOP more prominently than EP or bleomycin.

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The survival rate of the filtering blebs on day 20 was significantly higher in group A than in the other groups. Clinical and histologic studies uncovered no pathologic findings in any intra-or paraocular tissues. Electroretinographic evaluation of retinal function in group A showed no apparent change over the 60 days of the study. Conclusion: Glaucoma filtering surgery in rabbits with the.

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