Interesting Cases

Secondary glaucoma following retinal surgery

·         This 70 years old lady had undergone left eye combined cataract with vitrectomy for macular hole on 29-05-2013 elsewhere.

·         She had pain & high pressure after about 10 days of surgery & had undergone AC reformation with gas elsewhere for shallow AC elsewhere.

·         UBM done by Dr. Deepak Bhatt confirmed Iris bombe

·         On presentation her vision was counting finger 1mt in left eye, flat chamber in periphery deep in centre with well-placed posterior chamber intra ocular lens.

·         Intra Ocular Pressure was 19mm of hg in left eye with Tab. Diamox 1-1-1-1 times a day with Predfort eye drop & Atropine eye drop.

·         Funds examination revealed gas fill 40%, closed macular hole.

·         I did multiple yag iridotomies in periphery in left eye.

·         10 days after treatment anterior chamber became deep & intra ocular pressure was under controlled after stopping Tab. Diamox.

·         This case illustrates that timely yag iridotomy can help in iris bombe post-surgical.