Glaucoma Surgery

Glaucoma Surgery Glaucoma and Cataract Surgeon and Surgical Glaucoma "Fixer-Upper" at Moorfields, London

15/08/2025

Spoiling Laura De Benito-Llopis's fun!
This patient can manipulate their Iluvien so that it pops between AC and vitreous cavity, despite being pseudophakic with probably fewer than normal zonules.

Three reasons for corneal oedema: Iluvien bouncing around (as did prior Ozurdex) and 2 x Preserflos quite close to the cornea.

Needs a DMEK and mobile Iluvien is probably the main reason for decompensation but DMEKs are precious so the Iluvien and the Preserflos will be removed and replaced with a Paul Glaucoma Implant close to iris before the DMEK.
Laura De Benito-Llopis will still get to do the DMEK even is she doesn't get a chance to go fishing for the Iluvien!

Iluvien and prior Ozurdex were for macular oedema in Fuchs Uveitis Syndrome.

13/08/2025

More than the average amount of gas generated during this catalys femtosecond laser cataract surgery generated this cool appearance.


13/08/2025

A clearer than average view of a sulcus-fixated PGI on gonioscopy through a PI, only two weeks after implantation.

23/07/2025

I seem to be seeing increasing numbers of hypotony cases after sutured or yamane-type IOL insertion. This one was differed in that, without UBM, I would not have been able to identify the problem before surgery and would have needed endoscopy.

21/07/2025

An unusual case of hypotony and suspected cyclodialysis cleft that turned out to be something else. Diagnosis and repair in 14 mins.

30/06/2025

How I revise a PRESERFLO MicroShunt and how I remove it if I have to implant a tube later

17/06/2025

Hmm! Strange round lesions in the cornea. Primary congenital glaucoma, multiple procedures in infancy in the 1960s, strange round areas of corneal thinning lined with iris.

Anyone any ideas?

06/06/2025

Unilateral secondary glaucoma from elevated episcleral venous pressure. No systemic or extraocular abnormality. Just dilated vessels or AV malformation?

Full video coming soon.

04/06/2025

Ocular cicatricial pemphigoid or pseudopemphigoid from glaucoma medication? I hope Laura de Benito Llopis can sort this out and give me the answer!

30/05/2025

An extreme case of phacomorphic "volcanoes" on goniscopy. This patient with retinopathy of prematurity has open angles thanks to laser P*s, somewhat dramatic nystagmus and right corneal oedema. The corneal oedema seems to be due to the very close proximity of the pupil margin to the endothelium (arrows), probably resulting in intermittent contact. Also look at the nystagmus and specifically the alternatiing clockwise and anti-clockwise rotation of each globe in turn.

The cataracts need to come out!

29/05/2025

Buckle out, Paul Glaucoma Implant in. Although it would be not my first choice, sometimes there is no option other than to remove the buckle when implanting a PGI. This buckle turned out to be rather a surprise.

20/05/2025

Repairing a Paul Glaucoma Implant Exposure in an Eye with Tight Conjunctiva using Amniotic Membrane

In this 16 minute video I describe how I repositioned an exposed Paul Glaucoma Implant in an eye with extremely tight conjunctiva and primary angle closure. The ocular surface is closed with a donor scleral patch and overlying amniotic membrane.

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