The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Ocular massage for flat bleb

Photo by Professor Chua Chung Nen

This 70 year-old underwent combined trabeculectomy and phacoemulsification and implant (corneal incision) one week ago. The bleb appeared flat and the intraocular pressure measured 20mm Hg. Following massage, a bleb is formed and the pressure dropped to 11mm Hg.  The intraocular pressure remained controlled (15mmHg) at 3 weeks with bleb formation.

 

Flat bleb.

 

Formation of bleb post-massage.

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