DR.DR. RAVI KUMAR

Dr. BHAWESH SAHA, DR.DR. RAVI KUMAR, DR. RASHMI KUMARI

Abstract

PURPOSE

To report a case of post trabeculectomy bleb dysesthesia successfully treated with compression sutures.

CASE SUMMARY

A 36-year-old woman with uncontrolled glaucoma underwent trabeculectomy with mitomycin .After 2 months she complained of discomfort and foreign body sensation with raised IOP.Slit lamp examination revealed increased bleb extent. Under the impression of bleb dysesthesia, she received artificial tears and a bandage contact lens. These, however, failed to alleviate her symptoms .Bleb revision with compression suture was done. Post operatively,IOP was under control and symptoms were relieved.

CONCLUSIONS

Bleb dysesthesia, although not a common postoperative complication, can occur after trabeculectomy and might require surgical management. Patients should receive appropriate counseling and advice on bleb dysesthesia prior to undergoing trabeculectomy.