We report on a patient with an overhanging bleb several years following trabeculectomy surgery with mitomycin C.
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AVASCULAR OVERHANGING BLEB REDUCTION WITH MODIFIED SUTURELESS TECHNIQUE.
Acta Clin Croat
August 2023
Hospital del Mar i l'Esperança - Parc de Salut Mar, Barcelona, Spain.
A late postoperative trabeculectomy complication could be the overhanging bleb, especially when antimetabolites are used. It can be associated with hypotony, foreign body sensation, dellen, and visual compromise. We report a case of an avascular overhanging bleb successfully reduced with a modified sutureless technique.
View Article and Find Full Text PDFBleb revision with Tenon's transposition flap: Case report.
Int J Surg Case Rep
April 2024
Department of Ophthalmology and Visual Science, University of Chicago Medical Center, Chicago, IL, USA. Electronic address:
Introduction: To describe the use and technique of a Tenon's transposition flap without overlying conjunctiva to cover bare sclera following bleb excision and tube shunt implantation.
Presentation Of Case: A 76-year-old man with severe stage primary open-angle glaucoma in both eyes presented with a nonfunctioning trabeculectomy with a thin-walled, cystic bleb overhanging the cornea. A Baerveldt-350 Glaucoma Implant in the ciliary sulcus was recommended for further lowering of intraocular pressure, along with concurrent excision of the bleb due to patient dissatisfaction with the cosmesis of the bleb and to prevent future bleb-associated complications.
Fungal corneal ulcer after repair of an overhanging filtering bleb: A case report.
World J Clin Cases
September 2023
Department of Ophthalmology, The Second Hospital of Jilin University, Changchun 130022, Jilin Province, China.
Background: Overhanging filtering bleb is a common complication after trabeculectomy and surgical repair is an effective treatment when the patient presents with apparent symptoms. Filtering bleb relevant infection including in the filtering bleb itself and even endophthalmitis in some severe cases has been reported. However, corneal fungal infection after filtering bleb repair is rarely reported.
View Article and Find Full Text PDFRecurrence of gigantic overhanging bleb post excision: a case report.
GMS Ophthalmol Cases
September 2023
Pathology Department, Gobind Ballabh Pant Institute of Post Graduate Medical Education & Research, New Delhi, India.
Purpose: To report the case of an extremely large overhanging bleb, extending from superior fornix to limbus, in a 57-year-old poorly controlled diabetic, six years after trabeculectomy for an uncontrolled primary open angle glaucoma (POAG) with recurrence, months after complete excision.
Methods: An overhanging bleb is defined as a filtering cicatrix which has been massaged downward over the cornea by eyelid action. It has been linked to anti-metabolite use during glaucoma filtering surgery.
Filtering Pseudo-Bleb Secondary to Sutured Posterior Chamber Intraocular Lens with Implications for Ocular Surgery in Marfan Syndrome.
Turk J Ophthalmol
December 2022
Sydney Eye Hospital, Glaucoma Unit, Sydney, Australia.
A 51-year-old female Caucasian patient with a history of Marfan syndrome and multiple previous bilateral ocular surgeries presented with increasing discomfort, epiphora, and blurred vision in her right eye for a few months. On examination, we found an overhanging cystic Seidel-positive filtering pseudo-bleb with hypotony in her right eye and a smaller Seidel-negative filtering pseudo-bleb in the left eye secondary to sutured intraocular lens (IOL) in both eyes. Intraoperatively, two full-thickness scleral defects were found close to the limbus, suggesting a melting flap in the location of the previous sutured IOL implant in the right eye.
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