Dissecting Trabeculectomy Filtering Bleb Masquerading as Ocular Surface Squamous Neoplasia
DOI:
https://doi.org/10.62856/djcro.v8.56Abstract
A 79-year-old woman with a history of glaucoma and bilateral trabeculectomies presented with a large conjunctival mass concerning for ocular surface squamous neoplasia. Examination revealed a large, keratinized, vascularized lesion overlying the superior bulbar conjunctiva and cornea. Ultrasound biomicroscopy demonstrated a well-defined, encapsulated mass. The lesion was excised with amniotic membrane graft placement. Histopathology revealed findings consistent with a failed glaucoma filtering bleb, including keratinized stratified squamous epithelium, subepithelial edema, fibrovascular tissue, and dense collagen. No evidence of dysplasia or malignancy was found. Postoperatively, visual acuity improved to 20/20 with a well-formed bleb and controlled intraocular pressure. This case illustrates an unusual presentation of a failed filtering bleb mimicking ocular surface neoplasia and highlights the importance of histopathologic evaluation in differentiating benign postoperative changes from malignancy. Clinicians should consider filtering bleb complications in the differential diagnosis of conjunctival masses in patients with prior glaucoma surgery.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
The Contributor assigns to Duke, during the full term of copyright and any extensions or renewals, all copyright in and to the Manuscript, and all rights therein, including but not limited to the right to publish, republish, transmit, sell, distribute and otherwise use the Manuscript in whole or in part in electronic editions of the DJCRO and in derivative works throughout the world, in all languages and in all media of expression now known or later developed, and to license or permit others to do so. "Manuscript" means the article submitted by the Contributor for publication in the DJCRO (including any embedded rich media) and all subsequent versions. The definition of Manuscript does not extend to any supporting information submitted with or referred to in the Manuscript ("Supporting Information"). To the extent that any Supporting Information is submitted to the DJCRO, Duke is granted a perpetual, non-exclusive license to publish, republish, transmit, sell, distribute and otherwise use this Supporting Information in whole or in part in electronic and print editions of the DJCRO and in derivative works throughout the world, in all languages and in all media of expression now known or later developed, and to license or permit others to do so. If the Manuscript was shared as a preprint, the Contributor grants to Duke exclusivity as to any rights retained by the Contributor in the preprint.
Reproduction, posting, transmission or other distribution or use of the final Manuscript in whole or in part in any medium by the Contributor as permitted by this Agreement requires a citation to the DJCRO suitable in form and content as follows: (Contributor(s), Title of Manuscript, Journal Title, Journal Volume, Copyright© [year], Digital Object Identifier [DOI] link to final Manuscript). Links to the final article on the DJCRO website are also encouraged where appropriate.
