Cargando…
Gonioscopy-assisted transluminal trabeculotomy in neovascular glaucoma: Salvaging the conventional outflow pathway
PURPOSE: To report a case of acute neovascular glaucoma with partial synechial angle closure secondary to central retinal vein occlusion that underwent gonioscopy-assisted transluminal trabeculotomy as well as near-monthly anti-vascular endothelial growth factor (VEGF) injections and panretinal phot...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424943/ https://www.ncbi.nlm.nih.gov/pubmed/36051187 http://dx.doi.org/10.1016/j.ajoc.2022.101668 |
_version_ | 1784778337867005952 |
---|---|
author | Kanter, Jacob A. Amin, Pathik Komati, Rahul Mackin, Anna G. Dao, David Shaw, Lincoln T. Skondra, Dimitra Qiu, Mary |
author_facet | Kanter, Jacob A. Amin, Pathik Komati, Rahul Mackin, Anna G. Dao, David Shaw, Lincoln T. Skondra, Dimitra Qiu, Mary |
author_sort | Kanter, Jacob A. |
collection | PubMed |
description | PURPOSE: To report a case of acute neovascular glaucoma with partial synechial angle closure secondary to central retinal vein occlusion that underwent gonioscopy-assisted transluminal trabeculotomy as well as near-monthly anti-vascular endothelial growth factor (VEGF) injections and panretinal photocoagulation (PRP) treatments. OBSERVATIONS: Nine months after GATT, the patient had achieved intraocular pressure control on no medications. However, she was lost to follow up for 4 months and received no anti-VEGF or PRP during that time; she re-presented with acute NVG and complete synechial closure, and ultimately underwent aqueous shunt implantation. CONCLUSIONS AND IMPORTANCE: To our knowledge, this is the first reported attempt of an ab interno angle surgery to successfully restore aqueous outflow through the conventional outflow pathway in an eye with acute NVG and partial synechial angle closure. We posit that this can be an effective approach to achieve IOP control in NVG with at least partially open angles, as long as sufficient anti-neovascular treatments are administered until the underlying neovascular drive achieves quiescence. |
format | Online Article Text |
id | pubmed-9424943 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94249432022-08-31 Gonioscopy-assisted transluminal trabeculotomy in neovascular glaucoma: Salvaging the conventional outflow pathway Kanter, Jacob A. Amin, Pathik Komati, Rahul Mackin, Anna G. Dao, David Shaw, Lincoln T. Skondra, Dimitra Qiu, Mary Am J Ophthalmol Case Rep Case Report PURPOSE: To report a case of acute neovascular glaucoma with partial synechial angle closure secondary to central retinal vein occlusion that underwent gonioscopy-assisted transluminal trabeculotomy as well as near-monthly anti-vascular endothelial growth factor (VEGF) injections and panretinal photocoagulation (PRP) treatments. OBSERVATIONS: Nine months after GATT, the patient had achieved intraocular pressure control on no medications. However, she was lost to follow up for 4 months and received no anti-VEGF or PRP during that time; she re-presented with acute NVG and complete synechial closure, and ultimately underwent aqueous shunt implantation. CONCLUSIONS AND IMPORTANCE: To our knowledge, this is the first reported attempt of an ab interno angle surgery to successfully restore aqueous outflow through the conventional outflow pathway in an eye with acute NVG and partial synechial angle closure. We posit that this can be an effective approach to achieve IOP control in NVG with at least partially open angles, as long as sufficient anti-neovascular treatments are administered until the underlying neovascular drive achieves quiescence. Elsevier 2022-07-31 /pmc/articles/PMC9424943/ /pubmed/36051187 http://dx.doi.org/10.1016/j.ajoc.2022.101668 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Kanter, Jacob A. Amin, Pathik Komati, Rahul Mackin, Anna G. Dao, David Shaw, Lincoln T. Skondra, Dimitra Qiu, Mary Gonioscopy-assisted transluminal trabeculotomy in neovascular glaucoma: Salvaging the conventional outflow pathway |
title | Gonioscopy-assisted transluminal trabeculotomy in neovascular glaucoma: Salvaging the conventional outflow pathway |
title_full | Gonioscopy-assisted transluminal trabeculotomy in neovascular glaucoma: Salvaging the conventional outflow pathway |
title_fullStr | Gonioscopy-assisted transluminal trabeculotomy in neovascular glaucoma: Salvaging the conventional outflow pathway |
title_full_unstemmed | Gonioscopy-assisted transluminal trabeculotomy in neovascular glaucoma: Salvaging the conventional outflow pathway |
title_short | Gonioscopy-assisted transluminal trabeculotomy in neovascular glaucoma: Salvaging the conventional outflow pathway |
title_sort | gonioscopy-assisted transluminal trabeculotomy in neovascular glaucoma: salvaging the conventional outflow pathway |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424943/ https://www.ncbi.nlm.nih.gov/pubmed/36051187 http://dx.doi.org/10.1016/j.ajoc.2022.101668 |
work_keys_str_mv | AT kanterjacoba gonioscopyassistedtransluminaltrabeculotomyinneovascularglaucomasalvagingtheconventionaloutflowpathway AT aminpathik gonioscopyassistedtransluminaltrabeculotomyinneovascularglaucomasalvagingtheconventionaloutflowpathway AT komatirahul gonioscopyassistedtransluminaltrabeculotomyinneovascularglaucomasalvagingtheconventionaloutflowpathway AT mackinannag gonioscopyassistedtransluminaltrabeculotomyinneovascularglaucomasalvagingtheconventionaloutflowpathway AT daodavid gonioscopyassistedtransluminaltrabeculotomyinneovascularglaucomasalvagingtheconventionaloutflowpathway AT shawlincolnt gonioscopyassistedtransluminaltrabeculotomyinneovascularglaucomasalvagingtheconventionaloutflowpathway AT skondradimitra gonioscopyassistedtransluminaltrabeculotomyinneovascularglaucomasalvagingtheconventionaloutflowpathway AT qiumary gonioscopyassistedtransluminaltrabeculotomyinneovascularglaucomasalvagingtheconventionaloutflowpathway |