Delhi Journal of Ophthalmology

Cup Reversal in a Steroid Responder Post-Trabeculectomy

Jayamadhury Gudimetla, Vinaya Kumar Konana, Sudhakar Potti, Madhu Kumar R, Ashok Kanakamedla, Swarnalatha Poluri
Sankara Eye Hospital, Guntur, Andhra Pradesh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.

Corresponding Author:

Jayamadhury Gudimetla DNB
Sankara Eye Hospital, Guntur – Vijayawada
Express Highway, Pedakakani, Guntur,
Andhra Pradesh - 522509, India
Email id:

Received: 14-OCT-2018 Accepted: 21-JAN-2019 Published Online: 05-MAY-2019

An 18 year old male presented with diminution of vision in right eye since 4 days. Fundus of the right eye examination revealed a cup disc ratio of 0.4:1 and occlusion of superior and inferior branch retinal vein. The patient received sub tenon Triamcinolone acetonide elsewhere in the right eye. On follow up visit IOP was 48 mm of Hg and the cup disc ratio was 0.7:1 in right eye. The patient was started on maximum anti-glaucoma medications despite which the IOP was not under control. Patient underwent trabeculectomy in the right eye. One month post trabeculectomy, the cup disc ratio decreased from 0.7:1 to 0.4:1 and the IOP was 10 mm of Hg. Our case reemphasizes that prompt treatment of young patients with raised IOP can achieve cup reversal.

Keywords :Cup, Reversal, Steroid, Trabeculectomy