{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:40:26Z","timestamp":1756374026190,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,1]]},"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>Bleb dysesthesia, a rare condition encountered post-trabeculectomy, can be a severe issue interfering with the patient\u2019s quality of life. Preserving bleb function while alleviating the subjective symptoms remains a challenge in managing such patients. Intensive lubrication is generally accepted as the best initial management, whereas surgical options are reserved for non-responding cases as they carry an inherent risk of bleb failure. Here, we report a case of bleb dysesthesia within 2\u2009months of trabeculectomy. The bleb was extensive and did not respond to conservative management. It was managed successfully by combined surgical approaches, temporal compression sutures and nasal bleb-limiting conjunctivoplasty.<\/jats:p>","DOI":"10.1136\/bcr-2023-258008","type":"journal-article","created":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T04:06:00Z","timestamp":1732766760000},"page":"e258008","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Filtering dysesthetic bleb with circumferential intrapalpebral extension"],"prefix":"10.1136","volume":"17","author":[{"given":"Ravi","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rashmi","family":"Kumari","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences Deoghar, Deoghar, Jharkhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0533-5702","authenticated-orcid":false,"given":"Bhawesh Chandra","family":"Saha","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Supriya","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences Patna, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,11,27]]},"reference":[{"key":"2025082802041231000_17.11.e258008.1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.124.6.890"},{"key":"2025082802041231000_17.11.e258008.2","doi-asserted-by":"crossref","DOI":"10.1155\/2020\/7570454","article-title":"Surgical Management for Refractory Bleb Dysesthesia","volume":"2020","author":"Dyrda","year":"2020","journal-title":"J Ophthalmol"},{"key":"2025082802041231000_17.11.e258008.3","doi-asserted-by":"crossref","first-page":"37","DOI":"10.5005\/jp-journals-10078-1270","article-title":"Intrapalpebral Extending Dysesthetic Bleb Revision with Fibrin Glue","volume":"14","author":"Holmes","year":"2020","journal-title":"J Curr Glaucoma Pract"},{"key":"2025082802041231000_17.11.e258008.4","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2008.508"},{"key":"2025082802041231000_17.11.e258008.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(00)00901-6"},{"key":"2025082802041231000_17.11.e258008.6","doi-asserted-by":"publisher","DOI":"10.1097\/00061198-200306000-00015"},{"key":"2025082802041231000_17.11.e258008.7","article-title":"Compression sutures-a new treatment for leaking or painful filtering blebs","volume":"37","author":"Palmberg","year":"1996","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"2025082802041231000_17.11.e258008.8","doi-asserted-by":"crossref","first-page":"5","DOI":"10.25259\/GJCSRO_4_2023","article-title":"Glaucoma filtering bleb dysesthesia","volume":"2","author":"Jethva","year":"2023","journal-title":"GJCSRO"},{"key":"2025082802041231000_17.11.e258008.9","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.1016\/j.ophtha.2009.04.003","article-title":"Outcomes of surgical bleb revision for complications of trabeculectomy","volume":"116","author":"Radhakrishnan","year":"2009","journal-title":"Ophthalmology"},{"key":"2025082802041231000_17.11.e258008.10","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1111\/ceo.14073","article-title":"Management of bleb dysesthesia following subconjunctival micro-invasive glaucoma surgery by revision with fibrin glue","volume":"50","author":"Sartor","year":"2022","journal-title":"Clin Exp Ophthalmol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-258008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:04:18Z","timestamp":1756371858000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-258008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":10,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11,27]]},"published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1136\/bcr-2023-258008"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-258008","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,11]]}}}