Simple excision without suturing or grafting is usually sufficient. Dellen Corneal dellen develop in front of steep-walled blebs placed either nasally or temporally. The bulk of the bleb impedes the contact of the inner surface of the upper lid with the peripheral cornea Lubricants and tear supplements are indicated for management, and they need to be used intensively. Ointments and patching are the next levels of intervention. When symptoms persist, a Palmberg compression mattress suture usually is effective.
Surgical revision is to be considered when all else fails.
Severe complications such as infections or prolonged hypotony carry the most risk for permanent decrease in visual acuity. In case of endophthalmitis, a vitreoretinal surgeon may be consulted. Antibiotics - Therapy must be comprehensive and cover all likely pathogens in the context of this clinical setting. Contraindications Documented hypersensitivity Interactions None reported for subconjunctival and intravitreal applications Pregnancy C - Safety for use during pregnancy has not been established. Arrests bacterial growth by binding to one or more penicillin-binding proteins.