11/11/2025
Case Presentation: A 68-year-old woman with advanced glaucoma in her only seeing eye (ā19.50 D, axial length 30.5 mm) presents with IOP 32 mm Hg on maximal therapy.
BCVA 20/80 (potential 20/30). Findings: moderate nuclear sclerotic cataract, myopic macular degeneration, marked optic disc cupping (0.9 C/D), severe field loss, and diffuse zonulopathy.
Would you proceed with surgery, and which approach would you choose given her axial length, zonular weakness, and limited visual reserve?
š Read the full discussion: https://ow.ly/zSMP50Xq9yE
Case prepared by Devesh K. Varma, MD, FRCSC
Surgical planning in a high-stakes case.