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Billy Pan, MD
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This patient is an African-American male in his 50s with a history of pars plana vitrectomy, silicone oil removal, and scleral buckle. He has had a prior canaloplasty procedure which controlled IOP for approximately 6 months. Unfortunately, the pressure crept back up to the 40s on maximum drops and Diamox. Given the multiple surgeries that the patient had gone through, the existing scleral buckle, and the young age, and the significant drop burden (without IOP control), an aggressive surgical approach was planned. A C-Rex goniotomy 360 degrees around was used to tackle the traditional outflow system. Two separate cyclodialysis clefts were created with double spacer scaffolding in each to create redundancy in the uveoscleral outflow.
Financial Disclosure: Consultant (Iantrek)
Posted: 5/19/2025
Billy Pan, MD
This patient is an African-American male in his 50s with a history of pars plana vitrectomy, silicone oil removal, and scleral buckle. He has had a prior canaloplasty procedure which controlled IOP for approximately 6 months. Unfortunately, the pressure crept back up to the 40s on maximum drops and Diamox. Given the multiple surgeries that the patient had gone through, the existing scleral buckle, and the young age, and the significant drop burden (without IOP control), an aggressive surgical approach was planned. A C-Rex goniotomy 360 degrees around was used to tackle the traditional outflow system. Two separate cyclodialysis clefts were created with double spacer scaffolding in each to create redundancy in the uveoscleral outflow.
Financial Disclosure: Consultant (Iantrek)
Posted: 5/19/2025
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