Related Experiment Video
Updated: Jun 5, 2025
10:10
Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents
Published on: February 15, 2022
1.3K
Intermittent Bleeding From the Iridocorneal Angle and Subsequent Ghost Cell Glaucoma Following Gonioscopy-Assisted
Fatma Isil Sozen-Delil1, Raziye Donmez Gun, Güzide Akçay
1Department of Ophthalmology, Kartal Dr. Lütfi Kirdar City Hospital, Istanbul, Turkey.
Journal of Glaucoma
|December 16, 2024
Summary
Intermittent bleeding from the iridocorneal angle can occur after gonioscopy-assisted transluminal trabeculotomy (GATT) surgery, potentially leading to ghost cell glaucoma. Persistent hyphema warrants close monitoring for delayed complications.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
Background:
- Posttraumatic angle recession glaucoma presents unique challenges.
- Gonioscopy-assisted transluminal trabeculotomy (GATT) is a surgical option for glaucoma management.
Purpose of the Study:
- To report a case of intermittent iridocorneal angle bleeding after GATT surgery.
- To highlight the subsequent development of ghost cell glaucoma and its management.
Main Methods:
- A 25-year-old male with prior glaucoma underwent 360-degree GATT.
- Postoperative monitoring revealed intermittent bleeding and vitreous hemorrhage.
- Management included tranexamic acid, pars plana vitrectomy, and Ahmed glaucoma valve implantation.
Main Results:
- The patient experienced intermittent bleeding from the iridocorneal angle two weeks post-GATT.
- Ghost cell glaucoma developed, necessitating pars plana vitrectomy.
- Elevated intraocular pressure was ultimately controlled with Ahmed glaucoma valve implantation.
Conclusions:
- Persistent hyphema after GATT surgery may indicate intermittent iridocorneal angle bleeding.
- Close monitoring and potential hospitalization are advised for patients with prolonged hyphema post-GATT.
- This case underscores the importance of vigilance for delayed complications following GATT surgery.
Related Concept Videos
01:28Angle Closure Glaucoma: Treatment
435
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
435
01:25Glaucoma: Overview
505
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
505
01:27Open Angle Glaucoma: Treatment
391
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
391