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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2013  |  Volume : 20  |  Issue : 1  |  Page : 98-101

Surgical technique for excisional bleb revision using a rotational conjunctival flap for a large conjunctival defect

Department of Ophthalmology and Visual Sciences, University of Illinois-Chicago, Chicago, USA

Correspondence Address:
Thasarat S Vajaranant
Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.106409

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Bleb dysesthesia is a common but under recognized late complication of trabeculectomy, sometimes requiring surgical revision if conservative measures fail. We describe in detail a surgical technique for closure of a large conjunctival defect following bleb excision for refractory dysesthesia. Two subconjunctival 5-fluorouracil injections were given to improve bleb function. Eight months post-operatively, the intraocular pressure is well controlled on two agents, and the patient has had resolution of dysesthesia.

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