OBJECTIVES To determine the incidence of late-onset bleb-related complications following trabeculectomy with mitomycin and to report the management and outcome of bleb leaks following trabeculectomy with mitomycin. METHODS A retrospective medical record review of all patients who underwent trabeculectomy with mitomycin from June 1, 1991, through April 30, 1998, at our institution was performe...

SEPTEMBER 2010 CATARACT & REFRACTIVE SURGERY TODAY 45 C ataract and glaucoma frequently occur in the same patient, especially as the world’s population ages. Studies have shown that cataract surgery alone is capable of modestly reducing IOP and minimizing the patient’s need for multiple eye drops to control his or her IOP.1 The decrease may be larger when the baseline pressure is higher. Many t...

We report a case of a patient with age-related macular degeneration, who had undergone trabeculectomy nine years earlier, and developed severe hypotony and bleb leak after treatment with intravitreal injections of ranibizumab. Although the incident is rare, in patients with longstanding filtering blebs, who need treatment with antivascular endothelial growth factors, close follow-up may be advo...