Elderly woman with a bleb leak

Eileen C. Bowden, Catherine Q. Sun, Richard K. Lee

Research output: Contribution to journalArticlepeer-review


Purpose: To describe a unique incidence of inadvertent filtering bleb creation after intravitreal injections. Observations: An 84-year-old woman with a history of wet age-related macular degeneration requiring intravitreal injections presented with a Seidel-positive conjunctival cyst. The cyst was in an area where she had received multiple injections and was suspected to be an inadvertent filtering bleb secondary to a full-thickness scleral hole created by these injections. She underwent surgical closure of the fistula and repair of the bleb. Conclusions and Importance: This case emphasizes the importance of recognizing this potential complication of intraocular injections and outlines steps that should be taken to prevent poor outcomes and vision loss.

Original languageEnglish (US)
Article number101126
JournalAmerican Journal of Ophthalmology Case Reports
StatePublished - Sep 2021


  • Bleb
  • Bleb-related infection
  • Filtering surgery
  • Glaucoma
  • Intravitreal injection

ASJC Scopus subject areas

  • Ophthalmology


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