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Gonioscopy-assisted Transluminal Trabeculotomy in a Pediatric Patient With Steroid-induced Glaucoma

Hopen, Michael L. MD*; Gallardo, Mark J. MD*; Grover, Davinder MD

doi: 10.1097/IJG.0000000000001326
Online Articles: Case Report/Small Case Series

Purpose: To report a case of successful intraocular pressure (IOP) reduction after a 360-degree gonioscopy-assisted transluminal trabeculotomy (GATT) using the iTrack catheter in a patient with steroid-induced glaucoma as a result of treatment of vernal keratoconjunctivitis (VKC).

Materials and Methods: Case report.

Results: An 8-year-old male individual with a long-standing history of VKC, treated with topical steroids, developed elevated IOP and glaucoma in the right eye despite maximum topical glaucoma therapy. Reducing the steroid was not a viable option given the severity of VKC. A 360-degree GATT was successfully performed and IOP has been maintained off all glaucoma drops.

Conclusions: GATT is a viable option for steroid-induced glaucoma in the pediatric population. This obviates the need for riskier, more invasive conjunctival-based procedures.

*El Paso Eye Surgeons

Glaucoma Associates of Texas, Dallas, TX

The authors declare no conflict of interest.

Reprints: Michael L. Hopen, MD, 1201 N Mesa Street, El Paso, TX 79902 (e-mail:

Received April 2, 2019

Accepted June 30, 2019

Online date: July 12, 2019

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