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We present a complication arising from the use of swimming goggles in a patient with glaucoma drainage blebs.
CASE REPORT
A 73 year old white man with poorly controlled primary open angle glaucoma underwent routine trabeculectomy with adjunctive 5-fluorouracil to the right eye, followed by the same procedure to the left eye 6 weeks later. Preoperatively the intraocular pressures were 28 mm Hg bilaterally and cup:disc ratios were 0.95 right, 0.8 left. Early postoperative intraocular pressure (IOP) in the right eye was low (5 mm Hg at weeks 2 and 6), but uncomplicated. The recovery of the left eye was uneventful, and at 3 months the IOPs were 10 mm Hg right eye, 12 mm Hg left.
However, at 4 months the patient presented with discomfort and redness in the right eye. A large extension of the bleb had formed at the nasal limbus, with an …