| Baerveldt Tube Implantation After Bleb Dysesthesia: Case Report. |
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Kui Dong Kang, Yeon Deok Kim, Aman Shah Abdul Majid, Jee Hyun Kwag, John Salmon, Hye Bin Yim |
1Department of Ophthalmology, Oxford Eye Hospital, Headington, Oxford, UK.
2Nuffield Laboratory of Ophthalmology, University of Oxford, Oxford, UK.
3HanGil Eye Hospital, Incheon, Korea.
4Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang, Malaysia.
5Department of Brain and Cognitive Engineering, Korea University, Seoul, Korea.
6Department of Ophthalmology, Incheon St. Mary's Hospital, The Catholic University of Korea School of Medicine, Incheon, Korea. yimhb@catholic.ac.kr |
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강규동1,2ㆍ김연덕3ㆍAman Shah B. Abdul Majid2,4ㆍ곽지현5ㆍJohn Salmon1ㆍ임혜빈6 |
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Department of Ophthalmology, Oxford Eye Hospital, Headington1, Oxford, UK Nuffield Laboratory of Ophthalmology, University of Oxford2, Oxford, UK HanGil Eye Hospital3, Incheon, Korea Advanced Medical and Dental Institute, Universiti Sains Malaysia4, Penang, Malaysia Department of Brain and Cognitive Engineering, Korea University5, Seoul, Korea Department of Ophthalmology, Incheon St. Mary’s Hospital, The Catholic University of Korea School of Medicine6, Incheon, Korea |
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| Abstract |
PURPOSE
To report a case of bleb dysesthesia successfully treated after Baerveldt tube implantation. CASE SUMMARY: A 37-year-old woman presented with a history of persistent foreign body sensation and pain in the left eye. The patient was referred to our hospital and was diagnosed as having had plateau iris syndrome. Having shown no improvement with conservative management, she eventually received trabeculectomy in the left eye six months prior to her current presentation. Under the impression of bleb dysesthesia, she received artificial tears and a bandage contact lens. These, however, failed to alleviate her symptoms. She then had a compression suture of the bleb and bleb revision. These were performed sequentially but neither was effective. Finally, a Baerveldt tube implantation was performed successfully, and, three months later, bleb revision was performed using a donor sclera, which resulted in no further complaint of ocular discomfort. CONCLUSIONS: Bleb dysesthesia, although not a common postoperative complication, can occur after trabeculectomy and can be successfully treated with Baerveldt tube implantation. Patients should receive appropriate counseling and advice on bleb dysesthesia prior to undergoing trabeculectomy. |
| Key Words:
Baerveldt tube;Bleb dysesthesia;Trabeculectomy |
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