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Br J Ophthalmol 2008;92:465 doi:10.1136/bjo.2007.133751
  • Video Report

Trypan blue-guided trabeculectomy revision

  1. K N Rajkumar,
  2. H J Bunting,
  3. A K Patel
  1. Bridgend Eye Unit, Princess of Wales Hospital, Bridgend, UK
  1. Mr K N Rajkumar, Bridgend Eye Unit, Princess of Wales Hospital, Coity Road, Bridgend CF31 1RQ, UK; rajkumarkadaba{at}hotmail.com

    ABSTRACT

    A patient with primary open angle glaucoma and a previous trabeculectomy presented with choroidal detachments 3 weeks following bleb needling. Bleb exploration was carried out with the use of trypan blue 0.1% injected into the anterior chamber. Dye was noted to appear beneath the conjunctival bleb delineating the area of needling. Exploration of the scleral flap revealed a raised edge responsible for over-drainage that was stitched. A single sclerotomy was made and straw-coloured choroidal transudate was drained.

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