Channels: Glaucoma | Posted 7/20/2015
A 60 years old gentleman presented to the clinic with defective vision both eyes, UCVA right eye was hand movement with good projection and left eye was counting fingers 1 meter. His IOP was 28 mmHg OU while under three glaucoma medications for 10 years. His last visual field revealed double arcuate scotoma OU, mature senile cataract OU, and gonioscopy showed Shaffer grade 3 angle. Fundus could not be seen, After obtaining ethics committee approval from Riyadh National Hospital, Riyadh, Saudi Arabia and signed informed consent from the patient, combined cataract and glaucoma surgery was performed following the tenets of the Declaration of Helsinki.
Routine phacoemulsification plus PCIOL was performed. A Swan Jacob goniolens was used to visualize the angle as a 1.1 MVR stab knife created small incision between the scleral spur and the ciliary body. The microcatheter was introduced through the paracentesis to the anterior chamber then directed about 4mm into the suprachoroidal space by a forceps. A small amount of Healon GV was injected suprachoroidally. First day postoperatively, IOP was 12 mmHg under the same preoperative medications. One month postoperatively, IOP was 16 mmHg without medications, then 18 mmHg over the following 6 months.
Abbott Medical Optics, AMO • angle • Glaucoma • gonioscopy • Healon 5 • Intraocular Pressure, IOP • Suprachoroidal Catheterization