Chanbour Wassef, Chanbour Hani, Tomey Karim F, Khoueir Ziad
Ophthalmology, Beirut Eye & ENT Specialist Hospital, Beirut, LBN.
Medicine, Lebanese University Faculty of Medicine, Beirut, LBN.
Cureus. 2021 Aug 7;13(8):e16979. doi: 10.7759/cureus.16979. eCollection 2021 Aug.
Phacoemulsification and cataract surgery in general often lead to trabeculectomy bleb failure. We herein describe an unusual occurrence in a 79-year-old female who had a failed trabeculectomy bleb for one year prior to presentation, and whose failed bleb became reformed, and she regained function on the first day post-phacoemulsification, manifesting as a decrease in intraocular pressure. Topical corticosteroids were used for one month postoperatively and the bleb remained functional over more than six months of follow-up. It is most likely that the intraocular pressure elevation that occurs during phacoemulsification was responsible for the reformation of the bleb, even after having been a failed bleb for a whole year.
一般来说，超声乳化白内障手术常常会导致小梁切除术的滤过泡失败。在此，我们描述了一位79岁女性的不寻常病例，该患者在就诊前一年小梁切除术的滤过泡已失败，而失败的滤过泡重新形成，并且在超声乳化术后第一天眼压降低，滤过泡恢复功能。术后使用局部皮质类固醇一个月，在超过六个月的随访中滤过泡仍保持功能。很可能是超声乳化过程中出现的眼压升高导致了滤过泡的重新形成，即便它已经失败了一整年。
