Combined minimally invasive conjunctival surgery with lens repositioning for traumatic bleb leak with dislocated intraocular lens.

PubMed ID: 37810536

Author(s): Hoang J, Gutowski M, Altaweel M, Liu Y. Combined minimally invasive conjunctival surgery with lens repositioning for traumatic bleb leak with dislocated intraocular lens. Trauma Case Rep. 2023 Sep 24;48:100936. doi: 10.1016/j.tcr.2023.100936. eCollection 2023 Dec. PMID 37810536

Journal: Trauma Case Reports, Volume 48, Dec 2023

PURPOSE We report a case of traumatic bleb leak following trabeculectomy and dislocated intraocular lens treated with combined minimally invasive conjunctival surgery (MICS) and lens repositioning.

OBSERVATIONS A 36-year-old woman with a history of phacomorphic glaucoma secondary to microspherophakia and status post trabeculectomy underwent combined MICS and lens repositioning for a late-onset bleb leak and dislocated intraocular lens following minor trauma. The patient’s vision rapidly improved postoperatively with prompt resolution of hypotony.

CONCLUSION/IMPORTANCE MICS is an effective treatment for traumatic bleb leak following trabeculectomy that can be a particularly useful approach for patients undergoing concurrent ophthalmic surgery.