Endoscopic Goniosynechialysis for Acute Angle Closure Glaucoma Following Descemet\'s Stripping Automated Endothelial Keratoplasty

Abstract

This paper reports a 10-month-old spastic quadriplegic male child presenting with severe ulceration of ventral surface of tongue and lower lip due to the presence of mandibular and maxillary primary central incisors. The patient was on antiepileptic medication since birth. The recent development of ulcers aggravated the already deficient dietary intake due to his compromised medical status. After considering various treatment modalities, a conservative approach to cover the mandibular teeth and gum pads with a splint made in a flexible denture material was decided. The appliance incorporated an extraoral wire component for prevention of risk of inadvertent ingestion and to aid in attaching retentive components as and when needed. The challenges faced by the clinicians and the pitfalls influencing the ultimate outcome with this intervention are described.