{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T05:59:37Z","timestamp":1741067977748,"version":"3.38.0"},"reference-count":10,"publisher":"Digital Journal of Opthalmology","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Digit J Ophthalmol"],"abstract":"<jats:p>We report the case of a 33-year-old woman with a history of hypothyroidism and ocular history of mild myopia who presented with a spontaneous filtering bleb. Extensive systemic rheumatologic evaluation was unrevealing. The bleb was observed for many months, until the patient\u2019s vision declined secondary to the development of hypotony maculopathy. The filtering bleb was closed using an allogenic scleral patch graft, resulting in normotensive intraocular pressure and improved best-corrected visual acuity. A unilateral, spontaneous filtering bleb is a rare occurrence and is typically associated with systemic or ocular conditions. Complications such as hypotony can lead to visual impairment, and intervention is required. Early diagnosis and repair with donor scleral patch graft can prevent complications and provide an excellent cosmetic outcome.<\/jats:p>","DOI":"10.5693\/djo.02.2024.06.001","type":"journal-article","created":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T22:22:56Z","timestamp":1741040576000},"source":"Crossref","is-referenced-by-count":0,"title":["CASE REPORTS: Unilateral idiopathic spontaneous filtering bleb repaired by donor scleral patch graft"],"prefix":"10.5693","author":[{"given":"Suyeon","family":"Yu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Polla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elmira","family":"Baghdasaryan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paras P.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jules","family":"Winokur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Ritterband","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isha M.","family":"Cheela","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3822","published-online":{"date-parts":[[2025,3,1]]},"reference":[{"key":"13079","doi-asserted-by":"crossref","unstructured":"Chandran P, Khairnar AS, Aboobacker N, Raman GV. Bilateral idiopathic spontaneous filtering bleb with ectopia lentis: a case report and review of literature. Indian J Ophthalmol 2018;66:605-6.","DOI":"10.4103\/ijo.IJO_249_18"},{"key":"13080","doi-asserted-by":"crossref","unstructured":"Mohammadi M, Tabatabaei SM. Bilateral spontaneous filtering blebs. Am J Ophthalmol Case Rep 2020;20:100948.","DOI":"10.1016\/j.ajoc.2020.100948"},{"key":"13081","doi-asserted-by":"crossref","unstructured":"Franceschetti A, Bischler V. Nodulaire n\u00e9crosante et ses rapports avec la scl\u00e9romalacie (nodular necrotic scleritis and its relation to scleromalacia). Ophthalmologica 1950;120:36-37.","DOI":"10.1159\/000300859"},{"key":"13082","doi-asserted-by":"crossref","unstructured":"Nemet P, Bracha R, Lazar M. Spontaneous filtering blebs in Axenfeld syndrome. Am J Ophthalmol 1973;76:590-91.","DOI":"10.1016\/0002-9394(73)90757-5"},{"key":"13083","doi-asserted-by":"crossref","unstructured":"Munro M, McWhae J, Romanchuk K, Crichton A, Carter G, Ball A . Two cases of spontaneous filtering blebs, one idiopathic and one associated with Terrien marginal degeneration. Cornea 2014;33:752-4.","DOI":"10.1097\/ICO.0000000000000132"},{"key":"13084","doi-asserted-by":"crossref","unstructured":"Toriyama K, Inoue T, Suzuki T, Higashiura R, Maeda N, Ohashi Y. Spontaneous bleb formation in a presumed pellucid marginal corneal degeneration with acute hydrops. Cornea 2013;32:839-41.","DOI":"10.1097\/ICO.0b013e3182801685"},{"key":"13085","doi-asserted-by":"crossref","unstructured":"Gon\u00e7alves Dos Santos Martins T, Fontes de Azevedo Costa AL. A rare ocular complication of Neisseria gonorrhoeae. Ir J Med Sci 2018;187:815-6.","DOI":"10.1007\/s11845-018-1740-2"},{"key":"13086","doi-asserted-by":"crossref","unstructured":"Fern\u00e1ndez L\u00f3pez E, Poon A, Huhtanen A, Lindsay R, Green C. Bilateral blebs secondary to spontaneous scleral perforations. J Glaucoma 2017;26:e177-e179.","DOI":"10.1097\/IJG.0000000000000631"},{"key":"13087","doi-asserted-by":"crossref","unstructured":"Sanju\u00e1n P, Salvador-Culla B, Canut MI, Barraquer, RI. Unilateral spontaneous filtering bleb dissecting into the cornea in a patient with high myopia. Eur J Ophthalmol 2019;17:1120672119877159.","DOI":"10.1177\/1120672119877159"},{"key":"13088","doi-asserted-by":"crossref","unstructured":"Tatham A, Karwatowski W, Kumar P. Spontaneous bleb formation. Clin Exp Ophthalmol 2011;39:712.","DOI":"10.1111\/j.1442-9071.2011.02526.x"}],"container-title":["Digital Journal of Ophthalmology"],"original-title":[],"link":[{"URL":"https:\/\/djo.harvard.edu\/index.php\/djo\/article\/download\/833\/627","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/djo.harvard.edu\/index.php\/djo\/article\/download\/833\/627","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T22:23:08Z","timestamp":1741040588000},"score":1,"resource":{"primary":{"URL":"https:\/\/djo.harvard.edu\/index.php\/djo\/article\/view\/833"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,1]]},"references-count":10,"URL":"https:\/\/doi.org\/10.5693\/djo.02.2024.06.001","relation":{},"ISSN":["1542-8958"],"issn-type":[{"value":"1542-8958","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,1]]}}}