Author/Authors :
Dada, Tanuj Glaucoma Research Facility and Clinical Services - Dr. Rajendra Prasad Centre for Ophthalmic Sciences - All India Institute of Medical Sciences, New Delhi, India , Angmo, Dewang Glaucoma Research Facility and Clinical Services - Dr. Rajendra Prasad Centre for Ophthalmic Sciences - All India Institute of Medical Sciences, New Delhi, India , Midha, Neha Glaucoma Research Facility and Clinical Services - Dr. Rajendra Prasad Centre for Ophthalmic Sciences - All India Institute of Medical Sciences, New Delhi, India , Sidhu, Talvir Glaucoma Research Facility and Clinical Services - Dr. Rajendra Prasad Centre for Ophthalmic Sciences - All India Institute of Medical Sciences, New Delhi, India
Abstract :
Two patients with history of trabeculectomy presented with uncontrolled intraocular pressure (IOP)
postoperatively. The first patient had a flat and vasularized bleb 10 weeks after the surgery, and the second
subject developed encapsulated bleb 3 months postoperatively. Both patients were taken to the operating
room and intraoperative optical coherence tomography (OCT) guided bleb needling was performed to
restore aqueous egress into the subconjunctival space. Postoperatively, IOP of the operated eyes ranged
14‑18 mmHg at week 6 and month 3. None of the eyes had any intraoperative or postoperative complications.
This novel application of the intraoperative OCT for bleb needling facilitates precision surgery under direct
visualization and reduces the risk of complications.
