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May 1996

Management of Overfiltering and Leaking Blebs With Autologous Blood Injection

Arch Ophthalmol. 1996;114(5):633. doi:10.1001/archopht.1996.01100130625033

We read with interest the report by Dr Leen et al1 in the August 1995 issue of the Archives. We report herein two possible complications associated with this procedure.

Report of a Case.  A 50-year-old white man with a normal right eye underwent pars plana vitrectomy in the left eye in 1980 for recurrent, macula-sparing toxoplasma retinochoroiditis. He had an intracapsular cataract extraction in 1982 and a secondary anterior chamber intraocular lens placement in 1986. Subsequently, bullous keratopathy developed. He underwent a successful penetrating keratoplasty and intraocular lens exchange in November 1990, but severe, secondary angle-closure glaucoma developed, which necessitated a trabeculectomy with mitomycin (0.5 mg/mL for 5 minutes) at the inferior limbus in April 1991. In November 1991 his best corrected visual acuity was 20/40 OS.Thereafter, his intraocular pressure slowly fell to 1 mm Hg, despite six trichloroacetic acid treatments to the bleb. By November 1993, mild

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