Open Journal of Ophthalmology

Volume 9, Issue 4 (November 2019)

ISSN Print: 2165-7408   ISSN Online: 2165-7416

Google-based Impact Factor: 0.56  Citations  

Ethylenediaminetetraacetic Acid Chelation for Band Keratopathy before Ab Interno Glaucoma Surgery

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DOI: 10.4236/ojoph.2019.94018    274 Downloads   388 Views  

ABSTRACT

An 87-year-old woman with primary open-angle glaucoma presented to our hospital. Although the combined cataract and minimally invasive glaucoma surgeries (MIGS) were an appropriate surgical option, the presence of band keratopathy made it difficult to perform ab interno glaucoma surgery in her right eye (OD); therefore, the corneal opacity was removed using ethylenediaminetetraacetic acid (EDTA) chelation procedure. One month after chelation, microhook ab interno trabeculotomy and cataract surgery were performed successfully. Clear intraoperative visualization of the angle structures is critical for the success of these MIGS procedures. In glaucomatous eyes that require MIGS, EDTA chelation is a good neoadjuvant therapy for coexisting band keratopathy.

Cite this paper

Shirakami, T. , Takai, Y. , Mochiji, M. and Tanito, M. (2019) Ethylenediaminetetraacetic Acid Chelation for Band Keratopathy before Ab Interno Glaucoma Surgery. Open Journal of Ophthalmology, 9, 165-167. doi: 10.4236/ojoph.2019.94018.

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