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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 413-415

Spontaneous resolution of hypotony after Aurolab aqueous drainage implant due to fibrous ingrowth


1 Department of Glaucoma, The Eye Foundation, R. S. Puram, Coimbatore, Tamil Nadu, India
2 Department of Ophthalmology & Visual Sciences, Moran Eye Center, University of Utah, Salt Lake City, USA

Correspondence Address:
Muralidhar Rajamani
Consultant, Department of Glaucoma, The Eye Foundation, 582A, D. B. Road, R. S. Puram, Coimbatore - 641 002, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1068_21

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Peritubular leak after glaucoma drainage device implantation causing hypotony can occur with the use of needles with a bore larger than 25 G for creating an entry track for the tube. We report a patient who developed persistent hypotony probably due to peritubular leak after Aurolab Aqueous Drainage Implant implantation using a 22-G needle. The hypotony spontaneously resolved 7 months after surgery due to fibrous ingrowth. High intraocular pressures due to tube blockage were treated with Nd: YAG laser to clear the fibrous ingrowth. Surgeons should be aware of fibrous ingrowth as a complication of using a large-bore needle track for tube insertion.


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