The encapsulated bleb

Prevention and early recognition of bleb encapsulation is essential to increase chances of trabeculectomy success. Timely adjustment of topical steroids, subconjunctival anti-VEGF, 5FU or MMC and Needling can help prevent bleb encapsulation.
For established encapsulation medical treatment with steroids and aqueous suppressants are often successful, and appear to be at least as successful as needling.

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