Chronic Angle-Closure Glaucoma

A monocular patient with advanced chronic angle closure glaucoma in her left eye was referred for possible glaucoma surgery. She reported progressive worsening vision, especially of her peripheral vision. Exam was notable for visual acuity of 20/40 with an intraocular pressure of 18 on maximum tolerated medical therapy. Slit lamp examination was notable for a mild cataract. Gonioscopy revealed a narrow, occludable angle. Humphrey visual field testing showed a dense superior arcuate defect with inferior nasal step. Combined cataract surgery with gonioscopic assisted transluminal trabeculotomy (GATT) was recommended. Post-operatively, patient's intraocular pressure was improved on 2 fewer medications.

Presentation Date: 04/28/2022

Issue Date: 06/10/2022