Combine Phacoemulsification and Trabeculectomy with Synechiolysis in case of Closed Angle Uveitic Glaucoma

R, Natali Christine and Tanong, Nicholas Dwiki (2022) Combine Phacoemulsification and Trabeculectomy with Synechiolysis in case of Closed Angle Uveitic Glaucoma. Asian Journal of OPHTHALMOLOGY Supplement | APGC-2022, 18 (2). p. 77. ISSN 1560-2133

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Abstract

A 38 year-old male patient came with blurred vision and pain in the left eye. Eight months prior, the patient had been treated for anterior uveitis and got secondary glaucoma about 1 month ago. Examination on the left eye revealed a visual acuity of hand movement, shallow anterior chamber with almost 3600 posterior synechia, cloudy lens, and Intra Ocular Pressure (IOP) of 43 mmHg. After 1 month of Anti- Glaucoma drugs, target IOP was not achieved. Oral prednisolone was given 2 week prior to surgery. Mannitol intravein was given 1 hour preoperative and the IOP decreased to 25 mmHg. Intraoperative challenge included an undilated pupil after synechiolysis, hence an iris retractor was used. Combine Phacoemulsification and trabeculectomy was done and a three-piece IOL was implanted. The following day after the surgery; visual acuity of 0.3 with corneal edema, anterior chamber deepened, IOP of 20 mmHg, and well-functioning diffuse bleb Figure

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