An unusual case of posttrabeculectomy conjunctival granuloma
We report an unusual case of granulomatous inflammation that presented adjacent to bleb 3 weeks postoperatively after combined phacoemulsification and trabeculectomy surgery with mitomycin-C due to retained microfragments of methyl cellulose sponge. The commonly used antimetabolite delivery devices...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Oman Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2018;volume=11;issue=1;spage=52;epage=54;aulast=Choudhary |
| _version_ | 1829508492799508480 |
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| author | Samiksha Choudhary Swarnali Sen Omprakash Gupta |
| author_facet | Samiksha Choudhary Swarnali Sen Omprakash Gupta |
| author_sort | Samiksha Choudhary |
| collection | DOAJ |
| description | We report an unusual case of granulomatous inflammation that presented adjacent to bleb 3 weeks postoperatively after combined phacoemulsification and trabeculectomy surgery with mitomycin-C due to retained microfragments of methyl cellulose sponge. The commonly used antimetabolite delivery devices are made of cellulose. Methyl cellulose sponges are friable, and they are likely to leave behind microfragments in subconjunctival space. In our case, bleb integrity was maintained, unlike the earlier reported cases which presented with bleb leak. Hence, one should have high index of suspicion in unusual cases of postoperative inflammation not resolving conservatively. Although rare, retained sponge particles can be a cause of early bleb-related inflammation which can lead to bleb failure. |
| first_indexed | 2024-12-16T11:27:50Z |
| format | Article |
| id | doaj.art-4d1cc93eae824938aedff51581a65525 |
| institution | Directory Open Access Journal |
| issn | 0974-620X |
| language | English |
| last_indexed | 2024-12-16T11:27:50Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Oman Journal of Ophthalmology |
| spelling | doaj.art-4d1cc93eae824938aedff51581a655252022-12-21T22:33:18ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2018-01-01111525410.4103/ojo.OJO_121_2016An unusual case of posttrabeculectomy conjunctival granulomaSamiksha ChoudharySwarnali SenOmprakash GuptaWe report an unusual case of granulomatous inflammation that presented adjacent to bleb 3 weeks postoperatively after combined phacoemulsification and trabeculectomy surgery with mitomycin-C due to retained microfragments of methyl cellulose sponge. The commonly used antimetabolite delivery devices are made of cellulose. Methyl cellulose sponges are friable, and they are likely to leave behind microfragments in subconjunctival space. In our case, bleb integrity was maintained, unlike the earlier reported cases which presented with bleb leak. Hence, one should have high index of suspicion in unusual cases of postoperative inflammation not resolving conservatively. Although rare, retained sponge particles can be a cause of early bleb-related inflammation which can lead to bleb failure.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2018;volume=11;issue=1;spage=52;epage=54;aulast=ChoudharyCellulose spongegranulomatrabeculectomy |
| spellingShingle | Samiksha Choudhary Swarnali Sen Omprakash Gupta An unusual case of posttrabeculectomy conjunctival granuloma Oman Journal of Ophthalmology Cellulose sponge granuloma trabeculectomy |
| title | An unusual case of posttrabeculectomy conjunctival granuloma |
| title_full | An unusual case of posttrabeculectomy conjunctival granuloma |
| title_fullStr | An unusual case of posttrabeculectomy conjunctival granuloma |
| title_full_unstemmed | An unusual case of posttrabeculectomy conjunctival granuloma |
| title_short | An unusual case of posttrabeculectomy conjunctival granuloma |
| title_sort | unusual case of posttrabeculectomy conjunctival granuloma |
| topic | Cellulose sponge granuloma trabeculectomy |
| url | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2018;volume=11;issue=1;spage=52;epage=54;aulast=Choudhary |
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