Online Photo Diagnosis

By William Townsend, OD, FAAO

This lesion is an unplanned surgical bleb that occurred in a 67-year-old female several months after cataract surgery. After an uneventful post-operative period, she and her husband were traveling when the patient experienced sudden onset ocular discomfort in the operated eye. She immediately sought care at the nearest emergency room. The ophthalmologist on call diagnosed and treated the bleb. She now has a shallow asymptomatic bleb.

Unplanned blebs carry the potential for infection that may progress to endophalmitis. Patients presenting with this condition should be alerted to this possibility and instructed to contact their doctor immediately if they experience pain, injection or blurred vision.

Contact Lens Spectrum, Issue: January 2009