Dr.Anand Naik Bukke

Dr.Dewang Angmo, Prof. Dr.Tanuj Dada , Dr. Namrata Sharma

Abstract

Patient with medically uncontrolled open angle glaucoma with visually significant cataract planned for phacoemulsification with MIGS.
For capsular staining instead of trypan blue, we used 1% ICG followed by aqueous angiography performed with the help of FLEX-OCT to mark the high and low-flow areas of aqueous outflow.
MIGS- 26G needle ab-interno Goniectomy (BANG) was performed in low- flow area (conventionally-temporal) and bang tracked with I-OCT intra-operatively. Now TM resistance was removed and aqueous directly enters into Schlemn canal.
Phacoemulsification was completed in conventional manner. Goniectomy Cleft was monitored on follow-up at 1,3,6- and 12-months.