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Purpose: To describe 5 cases of lid retraction associated with large cystic glaucoma filtering blebs. Methods: Retrospective case reports and literature review. Results: All 5 patients had lid retraction due to glaucoma filtering blebs. Two were successfully managed surgically by graded blepharotomy with resolution of lid retraction and bleb dysesthesia symptoms. Three patients were managed symptomatically. Conclusions: Lid retraction due to cystic glaucoma blebs is an unusual entity and a diagnosis of exclusion. The exact pathogenesis of the condition is unclear. Conservative, medical and surgical interventions exist to manage the lid retraction and any associated bleb dysesthesia.
D. Gupta. Norfolk and Norwich NHS Trust, Ophthalmology, Colney Lane, Norwich NR4 7UP, United Kingdom. dgupta_01@yahoo.com
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)