Challenges in the Mx of glaucoma in a patient with severe Oc
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We present a challenging case of advanced glaucoma with severe OSD and benzalkonium chloride (BAK) allergy. The induced OS changes from topical antiglaucoma therapy in addition to an already compromised OS led to poor tolerance and compliance with IOP lowering eye drops. To decrease dependence on topical medications and reduce exposure to toxic compounds exacerbating OSD, laser, and surgical treatments were attempted. The exacerbated damage to the OS not only made the patient’s glaucoma surgery difficult and complicated but also significantly increased the risk of the surgery’s failure. In our paper, we aim to provide guidelines for ophthalmologists treating glaucoma patients with severe OSD.

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