Panscleritis as an Unusual Complication of Gonioscopy-assisted Transluminal Trabeculotomy


The principal intention of this research was to report a case of panscleritis following gonioscopy-assisted transluminal trabeculotomy (GATT).
Posterior scleritis can happen following minimally invasive glaucoma surgeries like GATT. Control of uveitis for at least 3 months before operation is suggested in patients with uveitis if GATT surgery is planned.

We describe the case of a man having a history of anterior uveitis and glaucoma, who developed panscleritis following GATT surgery.
Uneventful GATT surgery was completed in a glaucomatous left eye. On the second postoperative day, the patient developed tenderness on palpation of their eye. Examination showed exudative retinal detachment in the superior nasal quadrant, and diffuse tortuous and hyperemia, elongated bulbar conjunctival/scleral vessels, using deep seated scleral thickening. The patient has been diagnosed as having panscleritis, which was attributed to the GATT operation. Even though the scleritis resolved completely with intravenous and oral methylprednisolone therapy, detachment that was localized persisted.


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