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Neovascular Glaucoma With Persistent Epithelial Defect: Pathophysiology and Surgical Solutions.
Anugya Sharma1, Suneeta Dubey1
1Department of Glaucoma, Dr. Shroff's Charity Eye Hospital, New Delhi, IND.
Cureus
|June 17, 2025
Summary
This case study details managing a diabetic patient with severe neovascular glaucoma and ocular surface disease. Successful treatment involved amniotic membrane grafting and trabeculectomy, highlighting a tailored approach.
Area of Science:
- Ophthalmology
- Regenerative Medicine
Background:
- A 55-year-old male diabetic patient presented with bilateral uncontrolled neovascular glaucoma.
- The patient also exhibited drug-related ocular surface toxicity, leading to persistent epithelial defects in both eyes.
Observation:
- Uncontrolled neovascular glaucoma and ocular surface toxicity presented a complex clinical challenge.
- Persistent epithelial defects indicated significant damage to the corneal surface.
Findings:
- Successful management of the first eye involved amniotic membrane grafting combined with trabeculectomy.
- A similar therapeutic strategy was employed for the second eye, achieving successful co-management.
Implications:
- This case underscores the necessity of individualized, comprehensive treatment plans for complex ophthalmic conditions.
- The combined approach of amniotic membrane grafting and glaucoma surgery offers a viable solution for managing severe ocular surface disease and neovascular glaucoma.
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