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

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.