Surgical iridectomy is a standard method of treatment for narrow-angle glaucoma.¹ However, the development of laser iridectomy has largely replaced the need for incisional surgery.¹ There are cases where patients are unable or unwilling to submit to laser iridotomy, when surgical manipulation of the iris is required and when the cornea is not sufficiently clear. This case demonstrates the first use of a 25-gauge aspiration cutter through a 1 mm self-sealing corneal incision to perform a surgical iridectomy for glaucoma.

Case report

An 80-year-old woman was noted to have a variably pigmented inferonasal iris tumour, lenticular pseudoexfoliation and narrow angles in her left eye. The tumour was documented to grow and cause a sector cataract (prompting her referral to The …