Serous Retinal Detachment Following Bleb Needling.
Ohoud Owaidhah, Mohammed Alsaedi, Abdullah Alkandari et al.
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Case in brief
A 56-year-old man with diabetes and secondary glaucoma developed persistent nonrhegmatogenous serous retinal detachment following transconjunctival bleb needling for an encapsulated bleb after trabeculectomy. The condition was successfully treated with Pars plana vitrectomy. This case highlights a rare complication associated with a commonly performed procedure.
What made this case unusual
The occurrence of serous retinal detachment specifically following transconjunctival bleb needling is rarely described in the literature.
Diagnostic / clinical pearl
Clinicians should consider the risk of serous retinal detachment as a potential complication of transconjunctival bleb needling, particularly in patients with pre-existing ocular conditions.
Why it matters
Awareness of this rare complication can enhance preoperative counseling and patient management strategies in glaucoma surgery.