Bleb excision with donor scleral patch graft and conjunctival advancement using fibrin glue for late hypotony and overfiltering bleb

Late-onset bleb-related complications like ocular hypotony can lead to serious visual disabilities if not managed appropriately. The ideal treatment of overfiltering bleb has yet to be conclusively established. Here, we describe our successful technique of bleb reconstruction using donor patch scleral graft and conjunctival advancement with fibrin glue in a 90-year-old man who presented with late hypotony maculopathy and choroidal detachment secondary to the overfiltering bleb.