Chief & Presenting Author: Dr. Nimrita Gyanchand Nagdev

Co Author(s): Dr.Devendra Maheshwari, Dr.Madhavi Ramanatha Pillai, Dr.Shivam Gupta

Abstract

A 60-year- old male patient presented with defective vision ( LE > RE) , one eyed with diagnosis of primary angle glaucoma . BCVA in RE and LE was 6/18 and PL + with PR inaccurate respectively . On Goldmann applanation tonometery , IOP was 18 mmHg in RE and 50 mmHg in LE . Anterior segment examination revealed immature cataract in RE and LE mature cataract with relative afferent pupillary defect. undilated gonioscopy showed open angles in BE . RE dilated fundus examination showed cup:disc ratio of 0.9 and advanced VFD on HFA . Patient was on MMT for RE . Patient was taken was RE Phaco-trabeculectomy . On Operation theartre table, there was a deep flap cut and brownish hue of choroid was noted . Thereafter , GATT in form of 360 trabeculotomy was performed and 3piece IOP was implanted from superior section . posteratively , IOP was maintained to 12mmHg without any topical antiglaucoma medication and BCVA was 6/9 till 3 months.