Traumatic Glaucoma Managed With Ab Interno Trabeculotomy (Trabectome®): A Case Report

A 55-year-old patient sustained a bungee cord injury to his left eye, resulting in a traumatic cataract, vitreous prolapse into the anterior chamber, and extensive angle recession. Despite cataract surgery with pars plana vitrectomy and maximal medical therapy, intraocular pressure (IOP) remained elevated at 40 mmHg. The patient was diagnosed with mixed-mechanism traumatic glaucoma. Ab interno trabeculotomy with the Trabectome® system (MicroSurgical Technology, Redmond, WA, USA) successfully lowered IOP over 12 months, significantly reducing the medication burden. To the best of our knowledge, this is the first published textual case report describing the use of Trabectome® in this setting. In this case, ab interno trabeculotomy proved safe and effective in managing complex traumatic glaucoma.