Abstract
We report a case of a 74 years old patient with both eye angle-closure glaucoma, and central retinal vein occlusion with macular edema in the right eye. She underwent intravitreal anti-vascular endothelial growth factors (anti-VEGF) (aflibercept) followed by trabeculectomy with adjunctive mitomycin C (MMC) and a second dose of aflibercept, after which she developed a bleb leak and superior conjunctivial melting. She underwent surgical excision of necrosed conjunctiva followed by conjunctiva autograft. Intravitreal anti-VEGF could potentiate the effect of antimetabolites like MMC. One needs to factor this when managing patients post trabeculectomy who need intravitreal anti-VEGF for management of retinal pathology.
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
