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http://webeye.ophth.uiowa.edu/eyeforu... This is a tough case of a patient with Granulomatosis with Polyangiitis (formerly known as Wegener's Granulomatosis). He also has a history of high myopia. In his other eye, he has a history of retinal detachment requiring scleral buckle and tube shunt implantation for refractory glaucoma. Over time, both of these developed recurrent erosion/exposure, leaving him essentially monocular. He was referred with medically-uncontrolled glaucoma in his better-seeing eye. Given his prior history, we opted to try a canal-based procedure to avoid the issues of erosion. We chose Ab Interno Canaloplasty since he was monocular, as we wanted to reduce the risk of hyphema. Suggested Citation Format: Kam JP, Bettis DI. Refractory Primary Open-Angle Glaucoma Treated with Ab Interno Canaloplasty (ABiC). EyeRounds.org. posted January 6, 2017; Available from: http://EyeRounds.org/cases/247-ABiC.htm Don't forget to SUBSCRIBE. You can also follow me on Twitter: @DanBettisMD If you or a family member are a patient of Dr. Bettis, please submit a 30-second FREE patient rating online: http://www.healthgrades.com/review/GC...