Lid retraction following glaucoma filtering surgery: a case series and literature review

Orbit. 2009;28(6):363-7. doi: 10.3109/01676830903180306.

Abstract

Purpose: To describe 5 cases of lid retraction associated with large cystic glaucoma filtering blebs.

Methods: Retrospective case reports and literature review.

Results: All 5 patients had lid retraction due to glaucoma filtering blebs. Two were successfully managed surgically by graded blepharotomy with resolution of lid retraction and bleb dysesthesia symptoms. Three patients were managed symptomatically.

Conclusions: Lid retraction due to cystic glaucoma blebs is an unusual entity and a diagnosis of exclusion. The exact pathogenesis of the condition is unclear. Conservative, medical and surgical interventions exist to manage the lid retraction and any associated bleb dysesthesia.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Blepharoplasty
  • Eyelid Diseases / etiology*
  • Eyelid Diseases / surgery
  • Female
  • Glaucoma, Open-Angle / surgery*
  • Humans
  • Male
  • Middle Aged
  • Mitomycin / administration & dosage
  • Retrospective Studies
  • Trabeculectomy / adverse effects*

Substances

  • Mitomycin