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Arch Ophthalmol. 2006;124:738-741.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Topical alcohol has been commonly used to facilitate removal of corneal epithelium.¹ More recently, a technique for bleb revision has been described in which absolute alcohol is used topically to remove the epithelium of a previously existing bleb.² Unlike other techniques in which the prior bleb is excised, this technique has the advantage of leaving the prior bleb in place while resurfacing it, thus minimizing the potential for contraction that may otherwise occur during formation of an entirely new bleb.

We report a case of a patient who suffered acute corneal decompensation following surgical bleb revision in which a large amount of absolute alcohol had been used to de-epithelialize a leaking bleb. Results of an experimental rabbit model are presented to demonstrate the possibility that absolute alcohol caused the corneal toxicity in this case.

Report of a Case

A 79-year-old man had a 3 -month history of a Seidel-positive bleb leak and declining visual . . . [Full Text of this Article]

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AUTHOR INFORMATION
Todd W. Perkins, MD; Amit Kumar, MD; Julie A. Kiland, MS