A 52-year-old man with a history of severe primary open-angle glaucoma in both eyes and elevated intraocular pressure (IOP) in response to topical corticosteroids presented with an IOP above target of 19 to 23 mm Hg OS. He also had mild chronic macular edema in both eyes after remote cataract surgery and vitrectomy with membrane peel in both eyes. Two years prior, he underwent Baerveldt tube shunt in his left eye, and his IOP since surgery had been 8 to 14 mm Hg. Ophthalmic medications on presentation were timolol eye drops twice daily, brinzolamide-brimonidine eye drops 3 times daily, bimatoprost eye drops every night at bedtime, bromfenac eye drops once daily, and fluorometholone eye drops twice daily in both eyes.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Elizabeth A. Cretara, MD, Department of Ophthalmology and Visual Sciences, University of New Mexico Health Sciences Center, 1600 University Blvd NE, Albuquerque, NM 87102 (firstname.lastname@example.org).
Published Online: November 10, 2022. doi:10.1001/jamaophthalmol.2022.4735
Conflict of Interest Disclosures: None reported.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
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