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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 3  |  Page : 460

Sign of filtration in non-valved glaucoma drainage device


Glaucoma Services, Aravind Eye Hospital, Coimbatore, Tamil Nadu, India

Date of Web Publication02-Jul-2021

Correspondence Address:
Dr. Premanand Chandran
Aravind Eye Hospital, Avinashi Road, Coimbatore - 641 014, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_3218_20

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How to cite this article:
Chandran P, Raman GV. Sign of filtration in non-valved glaucoma drainage device. Indian J Ophthalmol Case Rep 2021;1:460

How to cite this URL:
Chandran P, Raman GV. Sign of filtration in non-valved glaucoma drainage device. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Jul 26];1:460. Available from: https://www.ijoreports.in/text.asp?2021/1/3/460/320113



A 39-year-old man with uveitic glaucoma underwent aurolab aqueous drainage implant (AADI) in the left eye. On first postoperative day his vision was 20/200. Slit-lamp examination showed plate in the superotemporal quadrant with prominent ridge [Figure 1]a suggestive of complete tube ligation, clear cornea, deep anterior chamber with tube in situ and posterior chamber intraocular lens. Intraocular pressure (IOP) was 26 mm Hg on 4 antiglaucoma medications (AGM). On 33rd postoperative day, there was fullness around the ridge [Figure 1]b with IOP of 06 mmHg suggestive of aqueous drainage through the tube and collection around the plate. At last follow-up, his vision was 20/200 and IOP was 12 mmHg without AGM. AADI plays an important role in managing refractory glaucoma[1],[2] and looking for signs of filtration apart from IOP reduction will help in managing the patient better.
Figure 1: Slit-lamp photograph showing implant plate with prominent ridge (arrowhead) before opening of ligature (a) and fullness around the ridge (arrowhead) suggestive of aqueous drainage after opening of ligature (b)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Philip R, Chandran P, Aboobacker N, Dhavalikar M, Raman GV. Intermediate-term outcome of Aurolab aqueous drainage implant. Indian J Ophthalmol 2019;67:233-8.  Back to cited text no. 1
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2.
Puthuran GV, Palmberg P, Wijesinghe HK, Krishnadas SR, Robin A. Intermediate-term outcomes of an affordable aqueous drainage implant in adults with refractory glaucoma. Ophthalmol Glaucoma 2019;2:258-66.  Back to cited text no. 2
    


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