Goniotomy for pigmentary glaucoma: Case series report

Author:

Zhang Yu1,Lin Fengbin1,Song Yunhe1,Zhang Xiulan1

Affiliation:

1. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China

Abstract

Pigmentary glaucoma (PG) is characterized by pigment deposition in the trabecular meshwork, which may obstruct the aqueous outflow and result in elevation of intraocular pressure (IOP) with optic nerve damage associated with visual field defect. There were three eyes (two patients) of PG who underwent 120° and 240° goniotomy (GT). At the 12-month follow-up visit, IOP of all cases was controlled with a reduction of ocular hypotensive medications. In conclusion, GT is effective and safe for PG, with the advantage of preserving the conjunctiva, and may be an appropriate surgical treatment for PG.

Publisher

Medknow

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