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Purpose:To investigate the efficacy of a soft bandage contact lens in the management of early bleb leak following tra-beculectomy. Methods: Between October 2011 and April 2013, 11 patients with early bleb leak following fornix-based trabeculectomy were instructed to wear a soft bandage contact lens 14 mm in diameter continuously for 1-2 weeks. The daily visual acuity, intraocular pressure (IOP), anterior chamber situation, and healing condition were measured at 1, 3, and 7 d, after con tact lens removal,.and 3 months after trabeculectomy..The con-ditions of blebs,.sensation of wearing contact lens,.and ad-verse events were recorded. Results:.Bleb leaks were observed at 2-8 d after surgery, (4.09±1.10 d on average). The daily LogMAR visual acuity did not significantly differ before and after contact lens wear (P>0.05). The IOP was significantly raised after at 1, 3, and 7 d after lens wear. (all P<0.05).The IOP at 3 months after lens wear did not significantly differ from that measured at lens removal (t=1.191, P=0.089). At 1 d after lens wear, 6 cases had deeper anterior chambers..All patients presented with a significantly deepened anterior chamber at 3 d after lens wear,.and were restored to the preoperative conditions..The bleb leakage was successfully treated at 7 d after lens removal in 10 patients, while 1 patient had to wear the contact lens for another 7 d for full healing of the bleb leak. No ocular infec-tion was noted throughout the management. Conclusion: A soft bandage contact lens of 14 mm diameter is a safe and efficacious therapy for an early bleb leak fol-lowing fornix-based trabeculectomy.
