Persistent Hypotony Associated with Immunosuppressive Therapy in Glaucoma Drainage Implant Surgery

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Persistent Hypotony Associated with Immunosuppressive Therapy in Glaucoma Drainage Implant Surgery

PURPOSE To describe the histopathology of non-valved implant capsules in three cases of persistent postoperative hypotony after the restrictive tube ligature was released in patients receiving immunosuppressive therapy. OBSERVATIONS The macroscopic appearance of the capsules 3 and 4 months postoperatively was immature and loose. Microscopic examination disclosed extremely irregular thin tissu...

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Management of hypotony after glaucoma filtering surgery

A 39-year-old male with open angle glaucoma in both eyes visited our clinic. The intraocular pressure (IOP) of both eyes fluctuated between 15 mmHg and 25 mmHg. The best corrected visual acuity (BCVA) was 20/20 in the right eye and 20/100 in the left eye. He underwent trabeculectomy with an adjunctive agent (mitomycin C; concentration, 0.2 mg/mL) smoothly on the right eye. After the removal of ...

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Management of hypotony and flat anterior chamber associated with glaucoma filtration surgery.

AIM To determine the effectiveness of pharmacological and interventional treatment of hypotony and flat anterior chamber (FAC) resulting from glaucoma filtration surgery. METHODS We retrospectively examined the medical records of fifty-two trabeculectomy patients (52 eyes) who developed postoperative hypotony and FAC. The management and associated complications of hypotony, changing intraocul...

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Panophthalmitis with orbital cellulitis following glaucoma drainage implant surgery in a pediatric patient.

Here we report a case of childhood glaucoma refractory to angle and trabeculectomy surgery. The patient was treated with an Ahmed™ drainage implant that was subsequently complicated by rapid-onset panophthalmitis and orbital cellulitis. Intravenous and intravitreal antibiotic therapy was initiated and the drainage tube was removed. The infectious process resolved within 3 weeks; however, phthis...

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Clinical Experience with the M4 Ahmed Glaucoma Drainage Implant

Aim To evaluate the safety and efficacy of the M4 (porous polyethylene plate) Ahmed Glaucoma Valve (AGV) drainage implant in a multicenter retrospective study. Materials and methods A retrospective chart review of medical records of patients who had undergone the M4 Ahmed valve was performed from January 2013 to April 2015. The primary outcome measure was surgical failure defined as: Less tha...

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ژورنال

عنوان ژورنال: Case Reports in Ophthalmology

سال: 2016

ISSN: 1663-2699

DOI: 10.1159/000447528