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Abstract #92372 Published in IGR 22-1
Ab interno 180-degree trabeculectomy with a dual blade in a patient with refractory primary congenital glaucoma
Koylu MT; Mutlu FM; Yilmaz ACEuropean Journal of Ophthalmology 2021; 0: 11206721211010402
A 13-year-old female patient with refractory primary congenital glaucoma (PCG) in the right eye who had a history of multiple glaucoma operations underwent ab interno 180-degree trabeculectomy with the Kahook Dual Blade (KDB) targeting the nasal and inferior angles. On postoperative day 1, the intraocular pressure (IOP) of the right eye reduced from 43 to 15 mmHg while on medical therapy. The patient maintained this IOP level throughout the 6-month follow-up. Ab interno KDB trabeculectomy targeting both nasal and inferior angles may be an effective and safe procedure for the treatment of PCG even in eyes with a history of previously failed glaucoma procedures.
Department of Ophthalmology, Gulhane School of Medicine, University of Health Sciences, Ankara, Turkey.
Full articleClassification:
9.1.1 Congenital glaucoma, Buphthalmos (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)