Chief Complaint: Red, irritated eye with decreased vision. History of Present Illness: A 74-year-old female presented to the glaucoma service center in a hospital with a 1-day history of conjunctival injection and mild discomfort in her right eye (OD). She had a known history of pigmentary glaucoma that was treated with a combined procedure of cataract extraction/posterior-chamber intraocular lens (PCIOL) and trabeculectomy with mitomycin C in the right eye five years earlier. Her visual acuity had decreased from 20/125 (5 months previously) to 20/250 OD on presentation.

Past Ocular History: Pigmentary glaucoma (OD), age-related macular degeneration in both eyes (OU), and lattice degeneration (OU). The patient had suffered a severe retinal detachment in the left eye (OS) with very poor residual vision despite treatment with a scleral buckle procedure. Medical History: Hypertension,…