Abstract
We report an unusual case of granulomatous inflammation that presented adjacent to bleb 3 weeks postoperatively after combined phacoemulsification and trabeculectomy surgery with mitomycin-C due to retained microfragments of methyl cellulose sponge. The commonly used antimetabolite delivery devices are made of cellulose. Methyl cellulose sponges are friable, and they are likely to leave behind microfragments in subconjunctival space. In our case, bleb integrity was maintained, unlike the earlier reported cases which presented with bleb leak. Hence, one should have high index of suspicion in unusual cases of postoperative inflammation not resolving conservatively. Although rare, retained sponge particles can be a cause of early bleb-related inflammation which can lead to bleb failure.
Keywords
Publication details
- DOI
- 10.4103/ojo.ojo_121_2016
- Journal
- Oman Journal of Ophthalmology, 11(1), 52-54
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Choudhary, S., Sen, S., & Gupta, O. (2018). An unusual case of posttrabeculectomy conjunctival granuloma. Oman Journal of Ophthalmology, 11(1), 52-54. https://doi.org/10.4103/ojo.ojo_121_2016
MLA 9
Choudhary, Samiksha, et al. "An unusual case of posttrabeculectomy conjunctival granuloma." Oman Journal of Ophthalmology, vol. 11, no. 1, 2018, pp. 52-54. https://doi.org/10.4103/ojo.ojo_121_2016.
Chicago (author–date)
Choudhary, Samiksha, Swarnali Sen, and Omprakash Gupta. 2018. "An unusual case of posttrabeculectomy conjunctival granuloma." Oman Journal of Ophthalmology 11 (1): 52-54. https://doi.org/10.4103/ojo.ojo_121_2016.
Harvard
Choudhary, S., Sen, S. and Gupta, O. (2018) 'An unusual case of posttrabeculectomy conjunctival granuloma', Oman Journal of Ophthalmology, 11(1), pp. 52-54. doi:10.4103/ojo.ojo_121_2016.
Vancouver
Choudhary S, Sen S, Gupta O. An unusual case of posttrabeculectomy conjunctival granuloma. Oman Journal of Ophthalmology. 2018;11(1):52-54. doi:10.4103/ojo.ojo_121_2016
IEEE
S. Choudhary, S. Sen, and O. Gupta, "An unusual case of posttrabeculectomy conjunctival granuloma," Oman Journal of Ophthalmology, vol. 11, no. 1, pp. 52-54, 2018, doi: 10.4103/ojo.ojo_121_2016.