After trabeculectomy and some other glaucoma surgeries, a filtering bleb forms where fluid drains from the eye. Careful monitoring and protection of this bleb are vital for long-term pressure control.
Routine Bleb Care
Daily habits help keep the bleb healthy.
- Use prescribed drops exactly as directed to control inflammation and infection risk.
- Avoid rubbing or pressing on the upper eyelid, where the bleb usually sits.
- Wear eye protection in windy or dusty environments to reduce irritation.
- Report any bleb-related discomfort or visible changes at follow‑up visits.
Clinical Monitoring
Regular examinations assess bleb function and structure.
- Clinicians check bleb height, spread, and vascularity, as well as eye pressure and vision.
- Needling, massage, or additional medications may be used to revive a failing bleb.
- Very thin, leaking, or inflamed blebs require prompt attention to prevent infection or over‑filtration.
- Long‑term reviews continue for the life of the bleb and the eye.
