NOV 07, 2017
Eyelid Malposition, Glaucoma, Surgical Management
Dr. Sunita Radhakrishnan discusses how orbital and adnexal factors can present challenges to traditional glaucoma surgery. Preoperatively, accurate IOP measurements can be difficult in patients with prostaglandin-associated periorbitopathy, particularly when using applanation devices that require a large corneal contact area. Intraoperatively, surgeons should be aware of retrobulbar hemorrhage, which can cause orbital compartment syndrome and vision loss within several hours of surgery. Postoperatively, Dr. Radhakrishnan recommends releasable scleral flap sutures that can be easily manipulated at the limbus.