A 54-year-old woman who presented with photopsia was found to have elevated intraocular pressure in both eyes and optic disc cupping in the right eye. Angle infiltration was noted on gonioscopy. She was previously been diagnosed with metastatic breast cancer. This case report describes a rare case of glaucoma as a complication of ciliary body and iris metastases secondary to invasive ductal breast cancer.

Papilloedema after trabeculectomy in patients with idiopathic intracranial hypertension (IIH), is a rare phenomenon. The exact mechanism for this has not been fully elucidated. One theory posits a translaminar cribosa pressure difference (TCPD) existing between cerebrospinal fluid pressure (CSFP) and intraocular pressure (IOP). Here we present such a case of a patient with juvenile open angle glaucoma and IIH.

Background/Objectives: We introduce a new surgical technique for inserting the eyePlate-300—a glaucoma drainage device (GDD). The flexibility of the eyePlate-300 allows for folding and insertion through a smaller conjunctival incision. The procedure is termed minimally invasive tube surgery (MITS). Methods: We performed a retrospective analysis of thirteen eyes to assess the efficacy of the MITS technique in a large London tertiary teaching eye hospital with 12 months follow-up. The primary outcome was complete success: defined as ‘IOP > 5 mmHg, <21 mmHg and off drops’. Secondary outcomes: best corrected visual acuity at 12 months, complications, a reduction in the number of drops and need for further pressure-lowering surgery. Results: Twelve eyes (92%) achieved a lower IOP. The mean pre-operative IOP was 35.69 mmHg (20–53 mmHg); post-operatively, it was reduced to 11.08 mmHg (5–20 mmHg) (p < 0.001). The mean pre-operative drops were 3.462 (3–4), reducing to 0.85 (0–3) at 12 months (p < 0.001). There was no change in the mean BCVA. No intraoperative complications were recorded, and no further IOP lowering surgeries were required. Conclusions: The MITS technique facilitates the implantation of a glaucoma drainage device through a smaller, less traumatic incision. Preliminary one-year data suggest that the procedure may be safe and effective.