Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma
Tube implants or glaucoma drainage devices have become an important method of intraocular pressure reduction when treating complex cases of traumatic glaucoma. However, it is not uncommon to have complications associated with tube implants. The optimal treatment of patients who have undergone glauco...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Oman Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2014;volume=7;issue=3;spage=147;epage=149;aulast=Dubey |
| _version_ | 1818530932938768384 |
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| author | Suneeta Dubey Julie Pegu Manisha Agarwal Anugya Agrawal |
| author_facet | Suneeta Dubey Julie Pegu Manisha Agarwal Anugya Agrawal |
| author_sort | Suneeta Dubey |
| collection | DOAJ |
| description | Tube implants or glaucoma drainage devices have become an important method of intraocular pressure reduction when treating complex cases of traumatic glaucoma. However, it is not uncommon to have complications associated with tube implants. The optimal treatment of patients who have undergone glaucoma implant surgery complicated by vitreous incarceration is uncertain. If vitreous is present or is able to prolapse into anterior chamber, as in aphakic or pseudophakic patient without an intact posterior capsule, a concurrent anterior vitrectomy is usually performed. In such cases, pars plana vitrectomy has been found to be more effective in several studies. However, there are no set guidelines for management of such a case in a phakic eye and the management can be more challenging especially when there is no obvious deficiency in posterior capsule, zonular dialysis, or loose vitreous gel in the anterior chamber prior to or during tube implantation. We describe a case of 14-year-old phakic patient with traumatic glaucoma without vitreous gel in anterior chamber whose tube implant became occluded by vitreous resulting in increased intra ocular pressure. This is the first documented report of vitreous incarceration in a phakic patient and its successful management. |
| first_indexed | 2024-12-11T17:25:57Z |
| format | Article |
| id | doaj.art-08e31eff647942b59bb41a81b8c8d9d2 |
| institution | Directory Open Access Journal |
| issn | 0974-620X |
| language | English |
| last_indexed | 2024-12-11T17:25:57Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Oman Journal of Ophthalmology |
| spelling | doaj.art-08e31eff647942b59bb41a81b8c8d9d22022-12-22T00:56:58ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2014-01-017314714910.4103/0974-620X.142600Vitreous occlusion of tube implant in a phakic patient with traumatic glaucomaSuneeta DubeyJulie PeguManisha AgarwalAnugya AgrawalTube implants or glaucoma drainage devices have become an important method of intraocular pressure reduction when treating complex cases of traumatic glaucoma. However, it is not uncommon to have complications associated with tube implants. The optimal treatment of patients who have undergone glaucoma implant surgery complicated by vitreous incarceration is uncertain. If vitreous is present or is able to prolapse into anterior chamber, as in aphakic or pseudophakic patient without an intact posterior capsule, a concurrent anterior vitrectomy is usually performed. In such cases, pars plana vitrectomy has been found to be more effective in several studies. However, there are no set guidelines for management of such a case in a phakic eye and the management can be more challenging especially when there is no obvious deficiency in posterior capsule, zonular dialysis, or loose vitreous gel in the anterior chamber prior to or during tube implantation. We describe a case of 14-year-old phakic patient with traumatic glaucoma without vitreous gel in anterior chamber whose tube implant became occluded by vitreous resulting in increased intra ocular pressure. This is the first documented report of vitreous incarceration in a phakic patient and its successful management.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2014;volume=7;issue=3;spage=147;epage=149;aulast=DubeyGlaucoma drainage devicesVitreous incarcerationVitrectomyTraumatic glaucoma |
| spellingShingle | Suneeta Dubey Julie Pegu Manisha Agarwal Anugya Agrawal Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma Oman Journal of Ophthalmology Glaucoma drainage devices Vitreous incarceration Vitrectomy Traumatic glaucoma |
| title | Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma |
| title_full | Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma |
| title_fullStr | Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma |
| title_full_unstemmed | Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma |
| title_short | Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma |
| title_sort | vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma |
| topic | Glaucoma drainage devices Vitreous incarceration Vitrectomy Traumatic glaucoma |
| url | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2014;volume=7;issue=3;spage=147;epage=149;aulast=Dubey |
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