Intraoperative optical coherence tomography guided bleb needling
- Resource Type
- article
- Authors
- Tanuj Dada; Dewang Angmo; Neha Midha; Talvir Sidhu
- Source
- Journal of Ophthalmic & Vision Research, Vol 11, Iss 4, Pp 452-454 (2016)
- Subject
- Bleb Needling
Optical Coherence Tomography
Encysted Bleb
Ophthalmology
RE1-994
- Language
- English
- ISSN
- 2008-322X
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.