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Trabeculectomy revision for overfiltration with scleral "TurtlePlast".
Samantha Goldburg1, John Moir1, Mary Qiu1
1Cole Eye Institute, Cleveland Clinic, USA.
American Journal of Ophthalmology Case Reports
|April 20, 2026
Summary
This video shows a repeat bleb revision to correct over filtration after a trabeculectomy surgery. This procedure is for patients experiencing complications from glaucoma treatment.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Trabeculectomy is a common surgical procedure for glaucoma.
- Over-filtration is a potential complication following trabeculectomy, leading to hypotony.
- Pigmentary glaucoma requires specific management strategies.
Purpose of the Study:
- To demonstrate the surgical technique of repeat bleb revision.
- To address over-filtration after trabeculectomy in a patient with pigmentary glaucoma.
Main Methods:
- The video showcases a repeat bleb revision procedure.
- The technique aims to manage excessive aqueous humor drainage.
- The patient presented with severe pigmentary glaucoma.
Main Results:
- The bleb revision addresses the complication of over-filtration.
- Successful management of over-filtration is crucial for maintaining intraocular pressure.
- The video highlights the steps involved in the revision.
Conclusions:
- Repeat bleb revision is a viable option for managing over-filtration post-trabeculectomy.
- This intervention can help restore appropriate intraocular pressure.
- Effective management is key for patients with complex glaucoma.

