Corneal Bleb Following Bleb Excision and Advancement of a Fornical Conjunctival Flap.

Ahn, Dong Gyun; Hyung, Sung Min

Original Article

Journal of the Korean Ophthalmological Society 1999;40(8):2319-2322.
Published online August 1, 1999.

Corneal Bleb Following Bleb Excision and Advancement of a Fornical Conjunctival Flap.

Dong Gyun Ahn, Sung Min Hyung

Department of Ophthalmology, College of Medicine, Chungbuk National University, Chungbuk, Korea.

결막전진봉합술 후 발생한 각막여과포

안동균(Dong Gyun Ahn),형성민(Sung Min Hyung)

Abstract

Advancement of a fornical conjunctival flap is the method used for bleb reconstruction after excision of necrotic leaking bleb. The authors have experienced a case of corneal bleb at 4 months after necrotic leaking bleb excision and advancement of fornical conjunctiva. The patient complained of irritation. The authors sutured conjunctival bleb over the cornea tightly to the limbus with full corneal thickness. Postoperatively corneal bleb and irritation symtom disappeared and visual acuity improved, but at postoperative 1 month, small corneal bleb recurred, which was punctured with 26G needle and Nd: YAG laser. Subsequently it disappeared and did not recur.

Key Words: Advancement of a fornical conjunctival flap;Corneal bleb;Corneal suture;Puncture