Surgical Technique for Excisional Bleb Revision Using a Rotational Conjunctival Flap for a Large Conjunctival Defect

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 su...

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Detalles Bibliográficos
Autores principales: Schultz, Kara L., Vajaranant, Thasarat S., Suhr, Kristin, Wilensky, Jacob T., Tu, Elmer Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3617541/
https://www.ncbi.nlm.nih.gov/pubmed/23580864
http://dx.doi.org/10.4103/0974-9233.106409
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author Schultz, Kara L.
Vajaranant, Thasarat S.
Suhr, Kristin
Wilensky, Jacob T.
Tu, Elmer Y.
author_facet Schultz, Kara L.
Vajaranant, Thasarat S.
Suhr, Kristin
Wilensky, Jacob T.
Tu, Elmer Y.
author_sort Schultz, Kara L.
collection PubMed
description 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.
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spelling pubmed-36175412013-04-11 Surgical Technique for Excisional Bleb Revision Using a Rotational Conjunctival Flap for a Large Conjunctival Defect Schultz, Kara L. Vajaranant, Thasarat S. Suhr, Kristin Wilensky, Jacob T. Tu, Elmer Y. Middle East Afr J Ophthalmol Case Report 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. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3617541/ /pubmed/23580864 http://dx.doi.org/10.4103/0974-9233.106409 Text en Copyright: © Middle East African Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Schultz, Kara L.
Vajaranant, Thasarat S.
Suhr, Kristin
Wilensky, Jacob T.
Tu, Elmer Y.
Surgical Technique for Excisional Bleb Revision Using a Rotational Conjunctival Flap for a Large Conjunctival Defect
title Surgical Technique for Excisional Bleb Revision Using a Rotational Conjunctival Flap for a Large Conjunctival Defect
title_full Surgical Technique for Excisional Bleb Revision Using a Rotational Conjunctival Flap for a Large Conjunctival Defect
title_fullStr Surgical Technique for Excisional Bleb Revision Using a Rotational Conjunctival Flap for a Large Conjunctival Defect
title_full_unstemmed Surgical Technique for Excisional Bleb Revision Using a Rotational Conjunctival Flap for a Large Conjunctival Defect
title_short Surgical Technique for Excisional Bleb Revision Using a Rotational Conjunctival Flap for a Large Conjunctival Defect
title_sort surgical technique for excisional bleb revision using a rotational conjunctival flap for a large conjunctival defect
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3617541/
https://www.ncbi.nlm.nih.gov/pubmed/23580864
http://dx.doi.org/10.4103/0974-9233.106409
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