Spontaneous Trabeculectomy Bleb Reformation and Regain of Function Following Phacoemulsification

Phacoemulsification and cataract surgery in general often lead to trabeculectomy bleb failure. We herein describe an unusual occurrence in a 79-year-old female who had a failed trabeculectomy bleb for one year prior to presentation, and whose failed bleb became reformed, and she regained function on...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 13; no. 8
Main Authors Chanbour, Wassef, Chanbour, Hani, Tomey, Karim F, Khoueir, Ziad
Format Journal Article
LanguageEnglish
Published Palo Alto (CA) Cureus 07.08.2021
Subjects
Ophthalmology
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Summary:Phacoemulsification and cataract surgery in general often lead to trabeculectomy bleb failure. We herein describe an unusual occurrence in a 79-year-old female who had a failed trabeculectomy bleb for one year prior to presentation, and whose failed bleb became reformed, and she regained function on the first day post-phacoemulsification, manifesting as a decrease in intraocular pressure. Topical corticosteroids were used for one month postoperatively and the bleb remained functional over more than six months of follow-up. It is most likely that the intraocular pressure elevation that occurs during phacoemulsification was responsible for the reformation of the bleb, even after having been a failed bleb for a whole year.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.16979