Cyclodialysis cleft created when an OMNI was performed after 2 iStents скачать в хорошем качестве

Cyclodialysis cleft created when an OMNI was performed after 2 iStents

Hypotony maculopathy after canal MIGS. Impossible? When 2 iStents failed to control the IOP in this high myope, the surgeon tried an OMNI. Why would you expect a second canal procedure to work if the first one failed? Presumably because of difficulty bypassing the iStents in the canal, the result was a small bifid cleft adjacent to the iStents and quite severe hyoptony maculopathy. You can see from the vision blue efflux how fast the drainage can be from even a small cleft. The gonio video is intraoperative so not quite as clear as a slitlamp gonio, but made possible thanks to the @ikeahmed goniolens, probably one of the most useful surgical glaucoma instruments ever invented. I repaired this 2 months after the OMNI. I would normally cryo very small clefts but this patient needed urgent definitive repair to prevent the macular folds becoming permanent and less invasive cleft procedures have a lower success rate. Ironically, the patient has a troublefree functioning trabeculectomy in the other eye. #cyclodialysis #cleft #cyclodialysiscleft #cyclopexy #omni #istent #glaucomasurgery #glaucomasurgeon #glaucomaspecialist #glaucomavignettes