PMC3349998_01
The avascular conjunctiva covering the superotemporal sclerotomy.
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fig1
The nuclear sclerosis (grade III) and posterior subcapsular cataract progressed to a mature cataract (Figure 1). The conjunctiva covering the superotemporal sclerotomy was avascular, flat, and partially lost (Figure 1).
The leakage streaming down.
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fig2
After an unsuccessful first attempt to identify a bleb leak with 2% fluorescein, we were able to observe the Siedel positivity with a heavily painted bleb and we made the diagnosis of late-onset filtrating bleb leak (Figure 2) which was a point leak but not an oozing.
Postoperative picture: elevated filtrating bleb and cataract removed.
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fig3
The IOP stabilized at 16 mmHg without medication, and a functioning filtrating bleb was formed (Figure 3). The corneal graft remained clear at her 6-month followup, after the phacoemulsification (Figure 3).