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Case report
Trauma-induced filtering bleb formation and blebitis 40 years following a penetrating eye injury
  1. Yee Ling Wong1 and
  2. Vikas Shankar2
  1. 1Ophthalmology, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK
  2. 2Ophthalmology, East Lancashire Hospitals NHS Trust, Blackburn, Lancashire, UK
  1. Correspondence to Dr Yee Ling Wong; yeelingwong{at}nhs.net

Abstract

A 49-year-old man presented to the emergency eye clinic with a 3-week history of redness, irritation and blurred vision in his right eye, with a noticeable lesion superotemporally on the conjunctiva. He had a previous ocular history of penetrating glass injury in the right eye at the age of 9 years (40 years ago), of which no surgical intervention was performed at that time, as his parents did not seek medical attention. Slit lamp examination revealed a thin, conjunctival cystic bleb at 10 o’clock position with surrounding conjunctival injection and chemosis at close proximity to the site of previous ocular trauma. Investigations confirmed a diagnosis of trauma-induced filtering bleb with blebitis (bleb inflammation). The patient was treated with a combination of steroid and antibiotic drops for duration of 2 weeks. Subsequent follow-up revealed marked improvement of symptoms with reduced inflammation. Patient is being monitored regularly to prevent recurrence of blebitis and bleb associated complications.

  • eye
  • infections
  • trauma
  • ophthalmology
  • glaucoma
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Footnotes

  • Contributors YLW was involved in first draft of manuscript. VS was involved in revising and critically appraising manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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