Neovascular Glaucoma With Persistent Epithelial Defect: Pathophysiology and Surgical Solutions
Anugya Sharma, Suneeta Dubey

TL;DR
A diabetic patient with severe eye disease was successfully treated using a combined surgical approach involving amniotic membrane grafting and trabeculectomy.
Contribution
A novel, combined surgical strategy for managing neovascular glaucoma with persistent epithelial defects is presented.
Findings
Amniotic membrane grafting after trabeculectomy successfully managed the first eye.
A similar approach was effective in the second eye with co-management of both conditions.
Tailored comprehensive treatment is crucial for complex cases of neovascular glaucoma.
Abstract
We report a unique case of a 55-year-old male diabetic patient who presented with uncontrolled neovascular glaucoma and drug-related surface toxicity, causing persistent epithelial defect in both eyes, and the distinctive management that followed. The successful management of the first eye with amniotic membrane grafting following trabeculectomy prompted a similar approach in the other eye with co-management of both conditions. This case highlights the importance of a tailored, comprehensive approach to such complicated cases.
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Taxonomy
TopicsGlaucoma and retinal disorders · Corneal Surgery and Treatments · Ocular Surface and Contact Lens
