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

Johnson Hoang; Michal Gutowski; Michael Altaweel; Yao Liu

doi:10.1016/j.tcr.2023.100936

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.

Authors

Johnson Hoang¹, Michal Gutowski¹, Michael Altaweel¹, Yao Liu¹

Affiliation

¹ Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States of America.

Abstract

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.

Keywords: Conjunctival surgery; Glaucoma; Ocular trauma; Trabeculectomy; Traumatic bleb leak.

Publication types

Case Reports