Abstract #82007 Published in IGR 20-4

Gonioscopy-assisted Transluminal Trabebeculotomy in a Pediatric Patient with Steroid-induced Glaucoma

Hopen ML; Gallardo MJ; Grover D
Journal of Glaucoma 2019; 0:

PURPOSE: To report a case of successful intraocular pressure reduction following a 360-degree gonioscopy-assisted transluminal trabeculotomy (GATT) using the iTrack catheter (Ellex, Fremont, CA) in a patient with steroid-induced glaucoma as a result of treatment of vernal keratoconjunctivitis (VKC). METHODS AND MATERIALS: Case report. RESULTS: An 8-year-old male with a long-standing history of VKC, treated with topical steroids, developed elevated intraocular pressure 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.

Glaucoma Fellow - El Paso Eye Surgeons, El Paso, TX.

Full article


9.4.1 Steroid-induced glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
6.4 Gonioscopy (Part of: 6 Clinical examination methods)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)

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