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¹Assoc. Prof. Ankara Training and Research Hospital, Ophthalmology Department, Ankara, Türkiye
²MD. Ankara Training and Research Hospital, Ophthalmology Department, Ankara, Türkiye DOI : 10.37844/TJ-CEO.2024.1.7 A 58-year-old female patient diagnosed with pseudoexfoliative glaucoma (PEG) in the left eye had full vision in both eyes, and intraocular pressure (IOP) was 12/15 mmHg with brimonidine-timolol fixed combination in the left eye. The mean retinal nerve fiber thicknesses were 93/56 ?m. There was pseudoexfoliation in the left eye, the anterior chamber was shallow, its angle was Shaffer Grade 3. The mean deviation value in the left eye in the visual field was -26.59. Maximum medical treatment was initiated upon progression. The patient?s IOP was 8/8 mmHg and progression was still continuing in the left eye on optical coherence tomography angiography (OCTA). Surgery was planned for her left eye and gonioscopy-assisted transluminal trabeculotomy (GATT) was performed. In the follow-ups, the left eye?s IOP was 10 mmHg without medication and there was no progression. After GATT, peripapillary capillary density increased with OCTA and visual field enlargement was observed. Cataract surgery was performed in the first year after GATT. Keywords : Low pressure glaucoma, pseudoexfoliative glaucoma, gonioscopy-assisted transluminal trabeculotomy, optical coherence tomography angiography