Case Study

Damned if you do, damned if you don’t!

Case History: Ophthalmic Surgeon –Gurjeet Jutley  was referred a lady in her 80’s for consideration of surgery in her only eye from a District General Hospital. She previously had ‘complication’ after surgery to relieve pressure twenty years previously at a different hospital. Her presenting examination revealed: LE: pthisical eye (NPL) Read More…

Failed MIGS, what next?

70-year-old Professor of Asian ethnicity had a right eye trabeculectomy three years back and with an excellent outcome. In his left eye he has a standalone Xen by a trainee Doctor, with subconjunctival fibrosis necessitating a peritomy and revision under the care of another Consultant. Post-operatively his pressure remained elevated Read More…

Secondary glaucoma

A 40-year-old Asian gentleman with pathological myopia, bilateral retinal detachment surgery (both scleral buckle and vitrectomy) was referred to Ophthalmic Surgeon- Gurjeet Jutley by another consultant with the following clinical picture: Axial length of 30 mm Pressure of 30mmHg on quadruple drop therapy and maximal oral acetazolamide Cup-disc-ratio of 0.9 Read More…