# Traumatic Glaucoma Managed With Ab Interno Trabeculotomy (Trabectome®): A Case Report

## TL;DR

A 55-year-old man with traumatic glaucoma after a bungee cord injury had successful IOP reduction using the Trabectome® system.

## Contribution

First textual case report describing Trabectome® use for traumatic glaucoma following a bungee cord injury.

## Key findings

- Ab interno trabeculotomy with Trabectome® significantly lowered IOP from 40 mmHg.
- The procedure reduced the need for glaucoma medications over 12 months.
- The treatment was safe and effective for complex traumatic glaucoma.

## Abstract

A 55-year-old patient sustained a bungee cord injury to his left eye, resulting in a traumatic cataract, vitreous prolapse into the anterior chamber, and extensive angle recession. Despite cataract surgery with pars plana vitrectomy and maximal medical therapy, intraocular pressure (IOP) remained elevated at 40 mmHg. The patient was diagnosed with mixed-mechanism traumatic glaucoma. Ab interno trabeculotomy with the Trabectome® system (MicroSurgical Technology, Redmond, WA, USA) successfully lowered IOP over 12 months, significantly reducing the medication burden. To the best of our knowledge, this is the first published textual case report describing the use of Trabectome® in this setting. In this case, ab interno trabeculotomy proved safe and effective in managing complex traumatic glaucoma.