Outcomes for Ab Interno Bleb Revision With a Novel Translimbal Sclerostomy SpatulaGrover, Davinder S. MD, MPH; Fellman, Ronald L. MDJournal of Glaucoma: July 2017 - Volume 26 - Issue 7 - p 633–637 doi: 10.1097/IJG.0000000000000686 Original Studies Buy Abstract Author InformationAuthors Article MetricsMetrics Purpose: To report outcomes for a novel ab interno bleb revision technique and spatula. Patients and Methods: This is a retrospective chart review. Results: A total of 21 eyes of 21 patients underwent ab interno bleb revision with the Grover-Fellman biplanar sclerostomy spatula. Mitomycin C was given at least 1 week preoperation. The mean age of the patients and blebs were 67 and 6.75 years, respectively. The mean follow-up is 10.6 months (range: 3 to 17 mo). Mean preoperative intraocular pressure (IOP) (SD) was 21.9 (9.1) mm Hg on 3.7 (1.2) glaucoma medications. At 12 months follow-up, the mean IOP was 12.1 mm Hg on 0.86 medications. Four eyes failed due to uncontrolled IOP needing a tube shunt. One eye failed due to uncontrolled IOP but was lost to follow-up before a tube shunt could be performed. All failures occurred within 3 months. Two eyes had an IOP of <5 mm Hg after 1 month with no evidence of hypotony maculopathy. These cases resolved after 3 months without surgical intervention. All successful cases had blebs that were low, diffuse, and posterior. Conclusions: After a failed filtration surgery, a low-diffuse bleb was reestablished by pretreating with subconjunctival mitomycin C followed by ab interno bleb revision with the Grover-Fellman biplanar sclerostomy spatula, decreasing further more invasive glaucoma procedures. Glaucoma Associates of Texas, Dallas, TX Disclosure: The authors declare no conflict of interest. Reprints: Davinder S. Grover, MD, MPH, Glaucoma Associates of Texas, 10740N. Central Expressway, Suite 300, Dallas, TX 75231 (e-mail: email@example.com). Received January 3, 2017 Accepted April 3, 2017 Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.