Glaucoma retinopathy

I'm 31 years old and have had multiple surgeries in the last few years done in the left eye. Cataract, vitrectomy in 2002 and glaucoma surgeries: canaloplasty and ECP in 2009. My eye sight in that eye is very poor 20/150. The glaucoma surgeries were really hard since after the canaloplasty my pressure went right back up within a week at  46.After ecp was done it took a few months but the pressure is now good without meds.Except inflammation is still present and i take pred forte twice a day . After ecp the pupil was displaced and an ectropion of uveae formed first day post op. What is my concerned is that the eye now also looks weird :displaced pupil with membranes showing from one side of the pupil and inflammation . Also I've had a ptosis after the canaloplasty witch is still present but has improve somehow since a few months. Surgeries were done 16 of october and 26 of november My question is there a way to bring the pupil back to the center of the iris will the ptosis resolve and will inflammation ever go away?

[Michael J Kutryb, MD]

I'm not sure what the original problem was?  Was it severe glaucoma, or diabetic retinopathy or some sort of inflammatory eye condition?  That will help to determine if inflammation will persist or worsen.  I suspect the ptosis may be permanant to some degree but ptosis surgery may not be in your best interest possibly because it may be a protective mechanism to help protect the sore, blurry eye.  If the pressure is under control and you still have at least some useful vision, then that is at least a few things to be thankful for.  With this degree of glaucoma, some patients can lose the vision completely. I cannot say that your situation sounds very good, though and I wonder why all the surgeries and all the failures.  Either a terribly bad case of glaucoma, a difficult case?  Maybe some bad surgical outcomes?  It's so hard to say.  Finally, there are surgeries to repair the pupil but in this case it may be one of the least of your questions and you may want to avoid more surgery.  It can be worked on though if the situation calls for it.