LAUSR

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.