Baerveldt Tube Implantation After Bleb Dysesthesia: Case Report

Kui Dong Kang; Yeon Deok Kim; Aman Shah B.; Abdul Majid; Jee Hyun Kwag; John Salmon; Hye Bin Yim

doi:10.3341/jkos.2010.51.5.790

Journal List > J Korean Ophthalmol Soc > v.51(5) > 1008828

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Kang, Kim, B., Majid, Kwag, Salmon, and Yim: Baerveldt Tube Implantation After Bleb Dysesthesia: Case Report

Original Article

J Korean Ophthalmol Soc 2010;51(5):790-793.

Published online: 25 September 2010

DOI: https://doi.org/10.3341/jkos.2010.51.5.790

Baerveldt Tube Implantation After Bleb Dysesthesia: Case Report

Kui Dong Kang, MD, MSc^1,², Yeon Deok Kim, MD³, Aman Shah B., Abdul Majid, BSc, MB ChB^2,⁴, Jee Hyun Kwag, D.Phil⁵, John Salmon¹, Hye Bin Yim, MD, PhD^6,

¹Department of Ophthalmology, Oxford Eye Hospital, Headington, Oxford, UK

²Nuffield Laboratory of Ophthalmology, University of Oxford, Oxford, UK

³HanGil Eye Hospital, Incheon, Korea

⁴Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang, Malaysia

⁵Department of Brain and Cognitive Engineering, Korea University, Seoul, Korea

⁶Department of Ophthalmology, Incheon St. Mary's Hospital, The Catholic University of Korea School of Medicine, Incheon, Korea

Address reprint requests to Hye Bin Yim, MD, PhD Department of Ophthalmology, Incheon St. Mary's Hospital #665-8 Bupyeong6-dong, Bupyeong-gu, Incheon 403-720, Korea Tel: 82-32-510-5525, Fax: 82-32-510-5833, E-mail: yimhb@catholic.ac.kr

Received 21 January 2009 Accepted 9 February 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of bleb dysesthesia successfully treated after Baerveldt tube implantation.

Case summary

A 37-year-old woman presented with a history of persistent foreign body sensation and pain in the left eye. The patient was referred to our hospital and was diagnosed as having had plateau iris syndrome. Having shown no improvement with conservative management, she eventually received trabeculectomy in the left eye six months prior to her current presentation. Under the impression of bleb dysesthesia, she received artificial tears and a bandage contact lens. These, however, failed to alleviate her symptoms. She then had a compression suture of the bleb and bleb revision. These were performed sequentially but neither was effective. Finally, a Baerveldt tube implantation was performed successfully, and, three months later, bleb revision was performed using a donor sclera, which resulted in no further complaint of ocular discomfort.

Conclusions

Bleb dysesthesia, although not a common postoperative complication, can occur after trabeculectomy and can be successfully treated with Baerveldt tube implantation. Patients should receive appropriate counseling and advice on bleb dysesthesia prior to undergoing trabeculectomy.

Keywords: Baerveldt tube, Bleb dysesthesia, Trabeculectomy

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Figure 1.

Initial visual field test showing arcuate scotoma in the left superior visual field. Fundus image of the patient's left eye is also shown.

Figure 2.

(A) Slit-lamp photograph demonstrating punctate epithelial erosions of the cornea adjacent to the bleb. (B, C) Slit-lamp photograph of the left eye. Note a large superior filtering bleb with a high profile.

Figure 3.

Slit-lamp photograph taken 6 month after Baerveldt tube implantation. Patient was symptom free and the intraocular pressure was satisfactorily maintained.

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