{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T22:09:02Z","timestamp":1788991742397,"version":"build-2803163510"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,11,19]]},"abstract":"<jats:p>A 27-year-old man with juvenile open angle glaucoma and medically uncontrolled intraocular pressure (IOP) underwent a trabeculectomy with mitomycin C in his right eye. One week postoperatively, he developed ischaemic necrosis of the conjunctiva with a bleb leak. This was managed conservatively with oral doxycycline 100\u2005mg twice daily along with a topical low-dose steroid, antibiotic and cycloplegic and a large diameter bandage contact lens (BCL). There was dramatic improvement in the bleb appearance, the necrosis healed and the leak resolved. The patient had well-controlled IOP with a diffuse healthy bleb at 4\u2005weeks, which was maintained at 2\u2005years. This case illustrates the utility and importance of oral doxycycline in the management of early post-trabeculectomy conjunctival necrosis and the use of BCL in the management of a bleb leak. This safe and non-invasive method not only hastened the recovery but also helped in maintaining good bleb function.<\/jats:p>","DOI":"10.1136\/bcr-2014-208008","type":"journal-article","created":{"date-parts":[[2014,12,5]],"date-time":"2014-12-05T07:52:10Z","timestamp":1417765930000},"page":"bcr2014208008","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Role of oral doxycycline and large diameter bandage contact lens in the management of early post-trabeculectomy bleb leak"],"prefix":"10.1136","volume":"2014","author":[{"given":"Turaga","family":"Kiranmaye","sequence":"first","affiliation":[{"name":"Department of Glaucoma, L V Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandrasekhar S","family":"Garudadri","sequence":"additional","affiliation":[{"name":"Department of Glaucoma, L V Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sirisha","family":"Senthil","sequence":"additional","affiliation":[{"name":"Department of Glaucoma, L V Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,12,5]]},"reference":[{"key":"2025082804363415000_2014.dec05_1.bcr2014208008.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6257(98)00025-3"},{"key":"2025082804363415000_2014.dec05_1.bcr2014208008.2","doi-asserted-by":"publisher","DOI":"10.4103\/0301-4738.99852"},{"key":"2025082804363415000_2014.dec05_1.bcr2014208008.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(01)00913-8"},{"key":"2025082804363415000_2014.dec05_1.bcr2014208008.4","first-page":"37","article-title":"Large soft contact lenses in the management of leaking blebs","volume":"26","author":"Shoham","year":"2000","journal-title":"CLAO J"},{"key":"2025082804363415000_2014.dec05_1.bcr2014208008.5","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2003.025551"},{"key":"2025082804363415000_2014.dec05_1.bcr2014208008.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6257(02)00287-4"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-208008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:36:43Z","timestamp":1756381003000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-208008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,5]]},"references-count":6,"alternative-id":["10.1136\/bcr-2014-208008"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-208008","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12,5]]}}}