Journal of Postgraduate Medicine
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Year : 2022  |  Volume : 68  |  Issue : 2  |  Page : 100-101  

Post-trabeculectomy early bleb localization mimicking a 'ring of steel'

S Choudhary, M Kaur, SS Pandav, S Kaushik 
 Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
S Kaushik
Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh
India

A 54-year-old-man underwent trabeculectomy with mitomycin-C (0.02%). At 4-week follow-up, there was an elevated, well-circumscribed bleb with raised intra-ocular pressure (IOP) of 32-mmHg, with a classic “ring of steel” appearance, typically seen in a tenon's cyst. A sub-tenon needle revision re-established aqueous flow. Two weeks later, the IOP was 8-mmHg without any anti-glaucoma medications. A diffuse well formed bleb was noted. Careful ocular examination helps to identify early post-operative localized bleb that may appear like a “ring of steel” but can be managed by needling, unlike a tenon's cyst, which would require more extensive intervention.


How to cite this article:
Choudhary S, Kaur M, Pandav S S, Kaushik S. Post-trabeculectomy early bleb localization mimicking a 'ring of steel'.J Postgrad Med 2022;68:100-101


How to cite this URL:
Choudhary S, Kaur M, Pandav S S, Kaushik S. Post-trabeculectomy early bleb localization mimicking a 'ring of steel'. J Postgrad Med [serial online] 2022 [cited 2023 Jun 7 ];68:100-101
Available from: https://www.jpgmonline.com/article.asp?issn=0022-3859;year=2022;volume=68;issue=2;spage=100;epage=101;aulast=Choudhary;type=0


 
Wednesday, June 7, 2023
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