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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 874

Misplaced bleb!


Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh, India

Date of Web Publication09-Oct-2021

Correspondence Address:
Dr. Rajat M Srivastava
Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_3530_20

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How to cite this article:
Srivastava RM, Verma S, Agrawal S. Misplaced bleb!. Indian J Ophthalmol Case Rep 2021;1:874

How to cite this URL:
Srivastava RM, Verma S, Agrawal S. Misplaced bleb!. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Oct 26];1:874. Available from: https://www.ijoreports.in/text.asp?2021/1/4/874/327672



On first postoperative day after an uneventful trabeculectomy, corneal examination revealed a localized Descemet detachment with a small intracorneal air bubble giving it a bleb like appearance [Figure 1]. Various factors have been implicated for causing Descemet detachment during trabeculectomy.[1] This case highlights that inadvertent Descemet tear along with intrastromal air entrapment while intracameral air injection through a valvular, oblique paracentesis incision may result in such a localized detachment. With subsequent reduction in size of intracameral air, entrapped intrastromal air would have expanded into the potential space making the detachment more apparent.
Figure 1 : (a and b) Slit and diffuse illumination showing localized Descemet detachment and intra-cameral air bubble; (c) Magnified cross-sectional view of Descemet detachment; (d) Resolved Descemet detachment on 4th postop day

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  References Top

1.
Chow VW, Agarwal T, Vajpayee RB, Jhanji V. Update on diagnosis and management of Descemet's membrane detachment. Curr Opin Ophthalmol 2013;24:356-61.  Back to cited text no. 1
    


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