Resumen

DIAZ AGUILA, Yuderkys et al. Late onset of leaking filtering bleb in a case. Rev Cubana Oftalmol [online]. 2012, vol.25, suppl.1, pp. 492-497. ISSN 0864-2176.

The case of a 48 years-old male patient was presented. He underwent trabeculectomy with antimetabolites to treat advanced glaucomatous damage in his right eye and optical glaucomatous atrophy in his left eye. After three years, he went to the follow-up medical service with late-onset of leaking filtering bleb, sclera perforation and slight ocular hypotony. The dilemma of covering the bleb with conjunctival autologous graft, with the risk of raised intraocular pressure over the target value o non-performance of the surgical treatment with high possibility of endophthalmitis was present. It was decided to apply the surgical procedure. The follow-up showed a well-adapted and vascularized conjunctival graft and intraocular pressure lower than 15 mm Hg in each medical appointment, without advance in glaucomatous damage.

Palabras clave : trabeculectomy; antimetabolites; late onset leaking bleb; conjunctival autologous graft.