This patient has primary open angle glaucoma. At age 50 he underwent a trabeculectomy in his right eye and, 7 months later had a needling performed of the bleb. After the bleb needling he was referred in with the clinical appearance seen here. His iris is peaked and there is pigmented material inside the filtering bleb. Thankfully, his intraocular pressure was 9 mmHg and his visual acuity was 20/25.
Courtesy of Young H. Kwon, M.D., Ph.D., The University of Iowa