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Encapsulation of the trabeculectomy bleb is a common cause of drainage failure in the early post-operative period. The primary management of bleb encapsulation has previously been to restart medical therapy, but recent advances in the technique of needle manipulation and the introduction of adjunctive 5-fluorouracil (5-FU) have increased the popularity of early surgical bleb management. By reporting the results of bleb needling in a series of patients, we aim to illustrate its safety and efficacy.

The treatment of encapsulated trabeculectomy blebs in an out-patient setting using a needling technique and subconjunctival 5-fluorouracil injection