Glaucoma Today

When pressure rebounds, the plan must evolve.

In this GT Case Files discussion, surgeons weigh how to manage a patient with retinal leukemic infiltrates, macular edema, steroid-induced glaucoma, and an early postoperative IOP spike after tube shunt surgery.

The stakes are high, with advanced optic nerve damage and the fellow eye awaiting intervention. Should the team adjust medications, revise the surgical strategy, or choose a different approach altogether?

Read the case to see how experts navigate timing, risk, and vision preservation in a complex clinical scenario here: https://ow.ly/eXmY50ZeGaB

Bleb appearance only tells part of the story. In glaucoma filtration surgery, AS-OCT can reveal and quantify the internal architecture that may determine long-term surgical success, from bleb height and wall reflectivity to scleral flap and sclerostomy patency.

These objective metrics could help clinicians identify early signs of scarring, stratify risk, and intervene before a bleb fails. As imaging advances, AS-OCT may become an increasingly practical tool for postoperative decision-making and research in glaucoma surgery.

Read more here: https://ow.ly/5axZ50Z5eu8.