Gonioscopy-assisted Transluminal Trabeculotomy in a Pediatric Patient With Steroid-induced Glaucoma.

Abstract:

PURPOSE:To report a case of successful intraocular pressure (IOP) reduction after a 360-degree gonioscopy-assisted transluminal trabeculotomy (GATT) using the iTrack catheter in a patient with steroid-induced glaucoma as a result of treatment of vernal keratoconjunctivitis (VKC). MATERIALS AND METHODS:Case report. RESULTS:An 8-year-old male individual with a long-standing history of VKC, treated with topical steroids, developed elevated IOP and glaucoma in the right eye despite maximum topical glaucoma therapy. Reducing the steroid was not a viable option given the severity of VKC. A 360-degree GATT was successfully performed and IOP has been maintained off all glaucoma drops. CONCLUSIONS:GATT is a viable option for steroid-induced glaucoma in the pediatric population. This obviates the need for riskier, more invasive conjunctival-based procedures.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Hopen ML,Gallardo MJ,Grover D

doi

10.1097/IJG.0000000000001326

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

e156-e158

issue

10

eissn

1057-0829

issn

1536-481X

pii

00061198-201910000-00016

journal_volume

28

pub_type

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