Open AccessSurgical technique for excisional bleb revision using a rotational conjunctival flap for a large conjunctival defect
Author(s) -
Kara L. Schultz,
Thasarat S. Vajaranant,
Kristin S. Suhr,
Jacob T. Wilensky,
Elmer Y. Tu
Publication year - 2013
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/0974-9233.106409
Subject(s) - dysesthesia , medicine , trabeculectomy , bleb (medicine) , surgery , intraocular pressure , complication , glaucoma , ophthalmology
Bleb dysesthesia is a common but under recognized late complication of trabeculectomy, sometimes requiring surgical revision if conservative measures fail. We describe in detail a surgical technique for closure of a large conjunctival defect following bleb excision for refractory dysesthesia. Two subconjunctival 5-fluorouracil injections were given to improve bleb function. Eight months post-operatively, the intraocular pressure is well controlled on two agents, and the patient has had resolution of dysesthesia.