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Abstract
Bleb dysesthesia, a rare condition encountered post-trabeculectomy, can be a severe issue interfering with the patient’s quality of life. Preserving bleb function while alleviating the subjective symptoms remains a challenge in managing such patients. Intensive lubrication is generally accepted as the best initial management, whereas surgical options are reserved for non-responding cases as they carry an inherent risk of bleb failure. Here, we report a case of bleb dysesthesia within 2 months of trabeculectomy. The bleb was extensive and did not respond to conservative management. It was managed successfully by combined surgical approaches, temporal compression sutures and nasal bleb-limiting conjunctivoplasty.
- Glaucoma
- Ophthalmology
- Eye
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Footnotes
Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: Rav K, Ras K, BCS, Sup S. The following author gave final approval of the manuscript: BCS.
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.
Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.