|Year : 2023 | Volume
| Issue : 2 | Page : 560
Curled up trabecular meshwork – A simple cause
Aparna Rao, Sardar M Khan, Sujoy Mukherjee
Glaucoma Service, LV Prasad Eye Institute, MTC Campus, Patia, Bhubaneswar, Odisha, India
|Date of Submission||14-Oct-2022|
|Date of Acceptance||04-Jan-2023|
|Date of Web Publication||28-Apr-2023|
Glaucoma Service, LV Prasad Eye Institute, MTC Campus, Patia, Bhubaneswar, Odisha - 751 024
Source of Support: None, Conflict of Interest: None
Keywords: Ab-interno glaucoma surgery, GATT, Trabecular meshwork
|How to cite this article:|
Rao A, Khan SM, Mukherjee S. Curled up trabecular meshwork – A simple cause. Indian J Ophthalmol Case Rep 2023;3:560
A 68-year-old male presented with redness in the right eye 1 week after surgery for open-angle glaucoma. Slit-lamp examination showed an intraocular pressure of 18 mmHg, few blood clots in the nasal angle, and inward curling of the trabecular meshwork (TM) toward the iris plane in parts of the superior angle with no angle recession in any quadrant [Figure 1]. Cut trabecular leaflet on anterior segment optical coherence tomography [Figure 1], with increased tissue thickness in the trabecular region suggested previous gonioscopic-assisted transluminal trabeculotomy (GATT).,
|Figure 1: (a) Diffuse slit-lamp photograph of patient presenting with redness after surgery. (b) Curled up trabecular meshwork, parts of which were curled toward the iris (arrows) with open trabecular shelf (white arrows in b and c)|
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| Discussion|| |
With the increasing scope of GATT in glaucoma, curled trabecular meshwork needs to be differentiated from TM tear after trauma, which may also have pigmentation, pigment clumps, and angle recession, apart from a ripped/torn TM on gonioscopy. This possibly happens because of the forcefully ripped remnant of the trabecular shelf during GATT collapsing onto the iris, which has not been reported before.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Hyderabad Eye Research Foundation is acknowledged.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
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Chen J, Wang YE, Quan A, Grajewski A, Hodapp E, Vanner EA, et al
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