Glaucoma Surgery

Glaucoma Surgery Glaucoma and Cataract Surgeon and Surgical Glaucoma "Fixer-Upper" at Moorfields, London

06/06/2026

Another interesting clinical case. In this one-eyed aniridic patient with a subluxed Morcher aniridic IOL a non-funtional Ahmed Valve and a Paul Glaucoma Implant obstructed with capsule, after a vitrectomy and tube unblocking, how would you fix the IOL?

30/05/2026

The most important point in repairing an exposed tube is to focus on why it might have eroded and how to prevent re-erosion.

20/05/2026

Ab interno preserflo removal. A simple technique. The history in this patient is more complicated. More to follow later.

20/05/2026

Phacolytic glaucoma after vitrectomy with gas.

An unusal case of very high IOP 10 days after vitrectomy and gas with an extremely deep anterior chamber.

glaucoma

19/05/2026

An unusal case. More to follow.

glaucoma

29/04/2026

Lacrimal gland excision and ocular surface disease on 4 glaucoma drugs. No big suprise, but the pressure is uncontrolled and the patient needs surgery both to control the pressure and get off the medication. How to achieve this?

15/04/2026

2 month follow-up on an usual case of hypotony due to a ciliary body tear around a secondary IOL suture.

10/04/2026

Aniridic keratopathy or over-optimistic IOL placement?

There is no sign of aniridic limbal stem cell deficiency, the IOL is clearly in the cornea and if I tube the patient for glaucoma, that will be blamed for the corneal decompensation.

These IOLs should not be left in the imaginary sulcus in these patients.

07/04/2026

Chronic Hypotony after a sutured, scleral-fixated, secondary intraocular lens.

In this video, I describe the investigation and management of a case of a suspected ciliary body tear causing chronic hypotony after a sutured intraocular lens.

01/04/2026

Severe neovascular glaucoma with very high PAS is much less common since the advent of anti-VEGF treatment. This type of glaucoma is particularly suited to sulcus tube implantation because of the very deep sulcus that results and usually with a fixed dilated pupil.

However, it is unusual for an eye to require two non-valved drainage devlces as the function of the very ischaemic ciliary body is usually greatly reduced.

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