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Case Reports
. 2022 Sep;32(5):NP67-NP70.
doi: 10.1177/11206721211010402. Epub 2021 Apr 16.

Ab interno 180-degree trabeculectomy with a dual blade in a patient with refractory primary congenital glaucoma

Mehmet Talay Koylu  1 , Fatih Mehmet Mutlu  1 , Alper Can Yilmaz  1
Affiliations
Case Reports

Ab interno 180-degree trabeculectomy with a dual blade in a patient with refractory primary congenital glaucoma

Mehmet Talay Koylu et al. Eur J Ophthalmol. 2022 Sep.

Abstract

A 13-year-old female patient with refractory primary congenital glaucoma (PCG) in the right eye who had a history of multiple glaucoma operations underwent ab interno 180-degree trabeculectomy with the Kahook Dual Blade (KDB) targeting the nasal and inferior angles. On postoperative day 1, the intraocular pressure (IOP) of the right eye reduced from 43 to 15 mmHg while on medical therapy. The patient maintained this IOP level throughout the 6-month follow-up. Ab interno KDB trabeculectomy targeting both nasal and inferior angles may be an effective and safe procedure for the treatment of PCG even in eyes with a history of previously failed glaucoma procedures.

Keywords: Ab interno trabeculectomy; Kahook Dual Blade; primary congenital glaucoma.

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