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Gonioscopy-assisted Transluminal Trabebeculotomy in a Pediatric Patient with Steroid-induced Glaucoma.

PURPOSE
To report a case of successful intraocular pressure reduction following a 360-degree gonioscopy-assisted transluminal trabeculotomy (GATT) using the iTrack catheter (Ellex, Fremont, CA) in a patient with steroid-induced glaucoma as a result of treatment of vernal keratoconjunctivitis (VKC).


METHODS AND MATERIALS
Case report.


RESULTS
An 8-year-old male with a long-standing history of VKC, treated with topical steroids, developed elevated intraocular pressure and glaucoma in the right eye despite maximum topical glaucoma therapy. Reducing the steroid was not a viable option given the severity of VKC. A 360 degree GATT was successfully performed and IOP has been maintained off all glaucoma drops.


CONCLUSIONS
GATT is a viable option for steroid-induced glaucoma in the pediatric population. This obviates the need for riskier, more invasive conjunctival-based procedures.