The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Pseudoexfoliation syndrome with glaucoma

Photo by Professor Chua Chung Nen

A 70 year-old Chinese suffers from bilateral pseudoexfoliation syndrome with open angle glaucoma. The right intraocular pressure was poorly controlled with medications and she underwent trabeculectomy. However, the bleb failed to function and the intraocular pressure remained high with progressive loss of visual field. A second operation was performed with Ahmed valve which succeeded in maintaining the intraocular pressure below 15mmHg. The left intraocular pressure was controlled with latanoprost and β-blocker.

 

Right Ahmed valve. Also iridectomy from previous failed trabeculectomy.

 

Close-up view of right pseudoexfoliation syndrome.

 

Close-up view of left pseudoexfoliation syndrome.

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