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Angle Closure Glaucoma: Treatment

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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...

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Updated: Nov 17, 2025

An Alternative and Validated Injection Method for Accessing the Subretinal Space via a Transcleral Posterior Approach

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Published on: December 7, 2016

Immediate Choroidal Expansion after Bleb Needling.

Maria Marenco^1,2, Aldo Vagge^1,2, Carlo E Traverso^1,2

¹Clinica Oculistica, DiNOGMI, University of Genoa, Genoa, Italy.

Case Reports in Ophthalmology

|February 11, 2021

Summary

This summary is machine-generated.

Bleb needling in glaucoma patients can cause immediate and sustained choroidal expansion. Spectral-domain optical coherence tomography (SD-OCT) is crucial for monitoring these changes post-procedure.

Keywords:

Bleb needling Choroidal expansion Spectral-domain optical coherence tomography

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Area of Science:

Ophthalmology
Glaucoma Surgery
Ocular Imaging

Background:

Pseudoexfoliative glaucoma requires surgical intervention, often involving Xen 45 Gel stent implantation and trabeculectomy.
Post-operative bleb fibrosis necessitates interventions like bleb needling.

Observation:

A case report details an 80-year-old male with pseudoexfoliative glaucoma undergoing multiple bleb needling procedures.
Spectral-domain optical coherence tomography (SD-OCT) was utilized to assess choroidal changes before and after the final needling procedure.

Findings:

Immediate and sustained choroidal expansion, observed in both macular and peripapillary regions, was detected via SD-OCT.
This choroidal expansion persisted for at least 1 week and up to 5 months post-procedure.

Implications:

Bleb needling can induce significant, long-lasting choroidal expansion.
SD-OCT is an indispensable tool for the detection and monitoring of choroidal changes following glaucoma surgery interventions.