Clinical and morphological evaluation of gold micro shunt after unsuccessful surgical treatment of patients with primary open-angle glaucoma
In the case of a 69-year-old woman GMS+ was removed from the left eye 21 months after surgery. Before removal, IOP was 24.0 mm Hg (Xalacom). Progression in the visual field (MD=−8.55) and corneal decompensation were observed. CCT increased from 534 to 676 μm despite the lack of GMS contact with the endothelium. In the middle portion of GMS the presence of collagen-rich connective capsule-like reaction was detected, but the capsule was thin (about 50 μm). In case no. 2 the presence of cell-rich collagen-poor connective tissue was found between the plates.