# Neovascular Glaucoma With Persistent Epithelial Defect: Pathophysiology and Surgical Solutions

## 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.

## Key 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.