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RHEGMATOGENOUS RETINAL DETACHMENT AFTER BLEB NEEDLING: A CASE REPORT
Celine Chaaya1, Ryan S Meshkin1, Srujay Pandiri2
1Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts; and.
Retinal Cases & Brief Reports
|April 16, 2025
Summary
Retinal detachment (RD) can occur after bleb needling in patients with high myopia and glaucoma. This case highlights the risk of rhegmatogenous RD following this procedure in susceptible individuals.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
Background:
- A 29-year-old female with a history of high myopia and juvenile open-angle glaucoma underwent glaucoma surgery.
- The patient had previously undergone trabeculectomy and trabeculectomy revision.
Purpose of the Study:
- To report a case of retinal detachment (RD) occurring after a bleb needling procedure.
- To highlight the potential risk of RD following bleb needling in patients with specific risk factors.
Main Methods:
- This study is a retrospective case report.
- The case involved a patient who developed sudden vision loss.
Main Results:
- The patient experienced sudden vision loss ten days after a bleb needling procedure.
- The vision loss was diagnosed as a rhegmatogenous retinal detachment.
- Predisposing factors included high myopia and a history of glaucoma surgery.
Conclusions:
- Bleb needling can be a potential risk factor for retinal detachment.
- Patients with pre-existing conditions like high myopia and glaucoma require careful consideration before bleb needling.
- This case underscores the importance of recognizing the risk of RD post-bleb needling in high-risk patients.
