Reversal of Cupping in a Patient with Juvenile Open-angle Glaucoma who Underwent Deep Sclerectomy: A Case Report

Reversal of cupping refers to a reduction in optic disc cup size. It is a rare phenomenon primarily observed after antiglaucoma surgeries, particularly in patients with juvenile glaucoma.

We report a case of reversal of cupping in an adult male patient who underwent deep sclerectomy. He had no history of eye surgery, trauma, or use of medications, such as steroids, nor any family history of glaucoma. He presented with uncontrolled intraocular pressure despite medical treatment and selective laser trabeculoplasty.

Following the reversal of cupping, deep sclerectomy with mitomycin C proved to be a safe and effective method to lower intraocular pressure. Additionally, no significant complications were observed. Further research is required to elucidate the mechanism of cupping and evaluate its relationship with the development of juvenile glaucoma.