Inadvertent filtering bleb following sutureless cataract surgery.
The case history of a sixty-two-year-old lady, who presented with a bleb in the upper part of her left eye following cataract surgery was studied. The patient had no prior history of any glaucoma surgery. Gonioscopy revealed fishmouthing of the internal aspect of the scleral tunnel incision. The diagnosis of post-cataract filtering bleb was made which was managed by resuturing the wound. This case highlights the use of gonioscopy to visualise and evaluate the internal wound and discusses intraoperative recognition of internal leak and its management with horizontal sutures.
Jain
Sunil S
SS
32-B, Dariya Mahal, 80, Nepean Sea Road, Mumbai 400 006, India. reemjain@yahoo.com
D002387:Cataract Extraction / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D013536:Suture Techniques