title: Surgical technique for excisional bleb revision using a rotational conjunctival flap for a large conjunctival defect.
abstract: 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.
authors.affiliation: Department of Ophthalmology and Visual Sciences, University of Illinois-Chicago, Chicago, IL 60612, USA.
authors.forename: Kara L
authors.initials: KL
authors.lastname: Schultz
authors.forename: Thasarat S
authors.initials: TS
authors.lastname: Vajaranant
authors.forename: Kristin
authors.initials: K
authors.lastname: Suhr
authors.forename: Jacob T
authors.initials: JT
authors.lastname: Wilensky
authors.forename: Elmer Y
authors.initials: EY
authors.lastname: Tu
mesh_terms: D000368:Aged; D001768:Blister / Q000601:surgery; D003228:Conjunctiva / Q000601:surgery*; D003229:Conjunctival Diseases / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D012086:Reoperation; D013524:Surgical Flaps; D014130:Trabeculectomy / Q000379:methods*; D016896:Treatment Outcome
keywords: Bleb Dysesthesia; Bleb Revision; Conjunctival Flap