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Post-Surgery Corneal Edema and Athalamia in Glaucoma

A 45-year-old woman underwent phakic anterior chamber lens surgery 23 years ago. She develops glaucoma and undergoes a trabeculectomy. The day after ­surgery the chamber is wide, the IOP is 5 mmHg.

At the weekly check-up, the patient presented with corneal edema and athalamia (Figure 1). She underwent intensive treatment with mydriatic agents and corticosteroids. Performing an AS-OCT using CASIA2 allows all parameters to be monitored ­qualitatively and quantitatively: corneal edema, distance from the lens to the endothelium(*), irido-corneal contact, and the inflammatory pupillary ­membrane(**).

After 30 minutes the improvement was already visible on the OCT (Figure 2), and the next day the improvement could be quantified. In 3 days the clinical condition was resolved (Figure 3).

Figure 1: Corneal edema and athalamia
Figure 1: Corneal edema and athalamia
Figure 2: Improvement 30 minutes after treatment
Figure 2: Improvement 30 minutes after treatment
Figure 3: Resolution after 3 days, with a clear cornea and a deep anterior chamber
Figure 3: Resolution after 3 days, with a clear cornea and a deep anterior chamber

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