Cystoid Macular Edema after an uncomplicated Gonioscopy- Assisted Transluminal Trabeculotomy on a previously vitrec- tomized patient

G. Espinoza, A. Pedraza-Concha, A. Tello, V. Galvis, C. M. Rangel, Y. A. Castellanos

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: The main purpose of this study was to report a case of cystoid macular edema (CME) after gonioscopy-assisted transluminal trabeculotomy (GATT). Methods: We describe the case of a 73-year-old woman with ocular hypertension and history of cataract surgery combined with posterior vitrectomy and epiretinal membrane peeling 2 years before, who developed CME after uncomplicated GATT procedure. Results: Uneventful GATT surgery was performed in an eye with ocular hypertension. A month after GATT surgery, the patient com-plained of blurry vision. Best corrected visual acuity had deteriorated from 20/20 on Snellen chart, to 20/70. The patient was diagnosed with CME. Treatment with topical non-steroidal anti-inflammatory drug (NSAID) and topical corticosteroids for one month, and oral carbonic anhydrase inhibitor for one week achieved a total CME regression with recovery of a normal macular and foveal architecture. Conclusions: Surgery-induced CME may occur following stand-alone microinvasive glaucoma surgery (MIGS) such as GATT. It would be worthwhile to conduct studies to explore whether the prophylactic use of NSAID and corticosteroids is justified.

Original languageEnglish
Pages (from-to)198-202
Number of pages5
JournalLa Clinica terapeutica
Volume173
Issue number3
DOIs
StatePublished - 25 May 2022

Keywords

  • circumfe-rential trabeculotomy
  • cystoid macular edema
  • GATT
  • glaucoma
  • microinvasive glaucoma surgery

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