2972: after GATT why the vitreous prolapse?
We have a true surgical mystery in this case, and we need the collective expertise of the global ophthalmic community to help solve it. As shown in this video, what began as a seemingly textbook, routine Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) procedure took an unexpected turn when vitreous prolapsed into the anterior chamber despite the anatomy initially looking normal. Did an area of occult zonular weakness allow vitreous to migrate anteriorly, or did the prolapse originate from a micro-cyclodialysis cleft or an inadvertent iridodialysis created during canal cannulation? Could anomalous anatomy or unrecognized prior issues with the original cataract surgery play a role here? Please watch the full surgical video closely, analyze the intraoperative tissue dynamics, and leave your theories and insights in the comments below to help the community understand and manage this highly unusual GATT complication. Together, we can figure this out.
