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Letter to the Editor
Delayed suprachoroidal haemorrhage following trabeculectomy bleb needling
  1. LUCY J HOWE,
  2. PHILIP BLOOM
  1. The Western Eye Hospital, Marylebone Road
  2. London NW1 5YE
  1. Lucy Howe.

https://doi.org/10.1136/bjo.83.6.753f

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    Editor,—Transconjunctival needling of trabeculectomy blebs is a relatively safe, simple outpatient procedure that can successfully re-establish aqueous flow in failed trabeculectomies.1 2 We report a severe delayed suprachoroidal haemorrhage occurring secondary to this procedure in an aphakic patient receiving aspirin therapy.

    CASE REPORT

    Fifteen years previously a 75 year old myopic man underwent bilateral intracapsular cataract extractions. He developed secondary open angle glaucoma but was intolerant of topical β blockers because of bradycardia. He was managed on pilocarpine drops 4% four times daily but control of intraocular pressure (IOP) was inadequate with deterioration in visual fields. Twelve years after the cataract extractions he underwent bilateral trabeculectomies with postoperative 5-fluorouracil. Three years later the left visual acuity was 6/18 with an IOP of 22 mm Hg despite pilocarpine. In view of progressive cupping of the left optic …

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