Gupta N - Researcher sought to describe an incision-free minimally invasive conjunctival surgical (MICS) procedure to repair the late-onset leaking bleb without tissue incision or excision. In addition, researchers retrospectively reviewed all patients treated for bleb leaks with MICS from 2012 to 2017 at the Glaucoma Unit at St. Michael’s Hospital. On fourteen eyes of 13 consecutive patients with a leaking bleb, the MICS described approach was applied. Seven months to 16.3 years post-trabeculectomy, bleb leak had appeared. All cases showed complete resolution of the bleb leak was observed following surgery. Outcomes support that the late-onset leaking bleb could be effectively treated using the MICS procedure. as this method has minimal requirements, it seems additionally accessible to low resource settings.