Encapsulated bleb with scleral fistula - A diagnostic dilemma treated by a simple procedure
We present a case of post-trabeculectomy encapsulated dysesthetic bleb with scleral fistula, managed successfully with autograft. The child was operated on twice before for trabeculectomy, and intraocular pressure (IOP) recorded was in the normal range for the initial few years. This time child pres...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2583;epage=2586;aulast=Satpute |
| _version_ | 1827896080993353728 |
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| author | Kanchangouri Satpute Veena Balaji Tanuj Dada Dewang Angmo |
| author_facet | Kanchangouri Satpute Veena Balaji Tanuj Dada Dewang Angmo |
| author_sort | Kanchangouri Satpute |
| collection | DOAJ |
| description | We present a case of post-trabeculectomy encapsulated dysesthetic bleb with scleral fistula, managed successfully with autograft. The child was operated on twice before for trabeculectomy, and intraocular pressure (IOP) recorded was in the normal range for the initial few years. This time child presented with a large encapsulated dysesthetic bleb with borderline IOP. As the IOP was on the lower side, an underlyings cleral fistula was suspected and planned for bleb revision with a donor patch graft. We describe the novel technique of bleb revision along with the repair of the scleral fistula with an autologous free fibrotic Tenon's tissue graft instead of a donor patch graft with a successful outcome. |
| first_indexed | 2024-03-12T22:30:44Z |
| format | Article |
| id | doaj.art-9846c34d19604600b8d736cfa81fa79d |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-03-12T22:30:44Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-9846c34d19604600b8d736cfa81fa79d2023-07-21T15:15:02ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017162583258610.4103/IJO.IJO_2946_22Encapsulated bleb with scleral fistula - A diagnostic dilemma treated by a simple procedureKanchangouri SatputeVeena BalajiTanuj DadaDewang AngmoWe present a case of post-trabeculectomy encapsulated dysesthetic bleb with scleral fistula, managed successfully with autograft. The child was operated on twice before for trabeculectomy, and intraocular pressure (IOP) recorded was in the normal range for the initial few years. This time child presented with a large encapsulated dysesthetic bleb with borderline IOP. As the IOP was on the lower side, an underlyings cleral fistula was suspected and planned for bleb revision with a donor patch graft. We describe the novel technique of bleb revision along with the repair of the scleral fistula with an autologous free fibrotic Tenon's tissue graft instead of a donor patch graft with a successful outcome.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2583;epage=2586;aulast=Satputeencapsulated dysesthetic blebpatch graftscleral defect |
| spellingShingle | Kanchangouri Satpute Veena Balaji Tanuj Dada Dewang Angmo Encapsulated bleb with scleral fistula - A diagnostic dilemma treated by a simple procedure Indian Journal of Ophthalmology encapsulated dysesthetic bleb patch graft scleral defect |
| title | Encapsulated bleb with scleral fistula - A diagnostic dilemma treated by a simple procedure |
| title_full | Encapsulated bleb with scleral fistula - A diagnostic dilemma treated by a simple procedure |
| title_fullStr | Encapsulated bleb with scleral fistula - A diagnostic dilemma treated by a simple procedure |
| title_full_unstemmed | Encapsulated bleb with scleral fistula - A diagnostic dilemma treated by a simple procedure |
| title_short | Encapsulated bleb with scleral fistula - A diagnostic dilemma treated by a simple procedure |
| title_sort | encapsulated bleb with scleral fistula a diagnostic dilemma treated by a simple procedure |
| topic | encapsulated dysesthetic bleb patch graft scleral defect |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2583;epage=2586;aulast=Satpute |
| work_keys_str_mv | AT kanchangourisatpute encapsulatedblebwithscleralfistulaadiagnosticdilemmatreatedbyasimpleprocedure AT veenabalaji encapsulatedblebwithscleralfistulaadiagnosticdilemmatreatedbyasimpleprocedure AT tanujdada encapsulatedblebwithscleralfistulaadiagnosticdilemmatreatedbyasimpleprocedure AT dewangangmo encapsulatedblebwithscleralfistulaadiagnosticdilemmatreatedbyasimpleprocedure |