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Case Studies

Excuse me sir: your tube is exposed…

50 year-old Bangladeshi gentleman referred from a peripheral Hospital with tube exposure supero-temporally. No tutoplast was visible and it was unlikely that it was used to cover the tube at the original surgery. The vision was limited due to glaucoma (6/18), normal pressure with an exposed tube. This risked infection Read More…

Gurjeet Jutley - Case study

Failed MIGS, what next?

70-year-old Professor of Asian ethnicity had a right eye trabeculectomy three years back and with an excellent outcome. In his left eye he has a standalone Xen by a trainee Doctor, with subconjunctival fibrosis necessitating a peritomy and revision under the care of another Consultant. Post-operatively his pressure remained elevated Read More…

Surgery by gurjeet jutley

Damned if you do, damned if you don’t!

Case History: Our Consultant Ophthalmic Surgeon –Gurjeet Jutley  was referred a lady in her 80’s for consideration of surgery in her only eye from a District General Hospital. She previously had ‘complication’ after surgery to relieve pressure twenty years previously at a different hospital. Her presenting examination revealed: LE: pthisical Read More…

The angle has closed!

A 50-year-old lady referred from casualty with acute angle closure glaucoma in her better eye. She had laser iridotomies performed by the Casualty officer, which were patent. However, the pressure remained elevated: my assessment revealed: Peripheral anterior synechiae limiting the outflow of aqueous fluid from the anterior chamber of the Read More…

Young pigmentary glaucoma

Gurjeet Jutley, our Consultant Ophthalmic Surgeon have had many young Caucasian patients in their 30’s referred with end-stage glaucomatous optic neuropathy due to pigment dispersion syndrome. Pressures prior to treatment ranged from 30-45mmHg and the symptoms ranged from: None Haloes Blurry vision Headaches All patients had trabeculectomies, augmented with mitomycin Read More…

Secondary glaucoma

A 40-year-old Asian gentleman with pathological myopia, bilateral retinal detachment surgery (both scleral buckle and vitrectomy) was referred to our Consultant Ophthalmic Surgeon- Gurjeet Jutley by another consultant with the following clinical picture: Axial length of 30 mm Pressure of 30mmHg on quadruple drop therapy and maximal oral acetazolamide Cup-disc-ratio Read More…