Ahmed glaucoma valve surgery for necrotizing scleritis with secondary glaucoma

Ranjan, Abhishek; Rao, Aparna

doi:10.1007/s10792-013-9782-y

Cited by 7 publications

(5 citation statements)

References 5 publications

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“…The efficacy of trabeculectomy was as high as 65% [13], [14]. We performed trabeculectomy as usual except that we made a conjunctival incision at 12-3 o'clock.…”

Section: Discussionmentioning

confidence: 99%

Trabeculectomy in Staphyloma Eye with High Intraocular Pressure Following Ocular Trauma – A Case Report

Sari

2021

Open Access Maced J Med Sci

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BACKGROUND: Ocular trauma may alter the anterior segment condition that may lead to secondary glaucomas such as inflammation, hyphema, angle recession, and lens subluxation. One of the most common procedures to decrease intraocular pressure (IOP) is trabeculectomy by creating pathways that allow aqueous humor to flow out of the anterior chamber. Scleral tissue destruction can cause damage in thin areas (such as posterior to the rectus muscle insertions) as in case of scleritis. CASE REPORT: An 11-year-old boy presented to the Ophthalmology Department of Universitas Sumatera Utara Hospital with a bigger white grayish mass and blurry vision. There was a history of the left ocular trauma 6 years ago, followed by redness of the eye, but not treated properly. On the general examination, the patient’s left eyes looked cloudy. On ocular examination, the left eye visual acuity was 1/300 and IOP was 28 mmHg. Segment anterior examination showed staphyloma from 9 to 12 o’clock, conjunctival injection, corneal scar, shallow anterior chamber, and cloudy lens. We could not asses the posterior segment due to cloudy media. We gave anti-glaucoma medication for 1 month, but the IOP did not decrease. We performed a trabeculectomy to control IOP and to prevent staphyloma from getting bigger. CONCLUSION: Trabeculectomy was an effective procedure to control IOP in a staphyloma eye following ocular trauma.

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“…The efficacy of trabeculectomy was as high as 65% [13], [14]. We performed trabeculectomy as usual except that we made a conjunctival incision at 12-3 o'clock.…”

Section: Discussionmentioning

confidence: 99%

Trabeculectomy in Staphyloma Eye with High Intraocular Pressure Following Ocular Trauma – A Case Report

Sari

2021

Open Access Maced J Med Sci

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“…However, the literature on AGV implantation in patients with necrotizing scleritis is sparse. Ranjan and Rao[2] described a case of necrotizing scleritis with extensive staphylomas and secondary glaucoma in a 35-year-old one eyed female. The patient underwent AGV implant and had good control IOP post-operatively.…”

Section: Discussionmentioning

confidence: 99%

“…After three and half months, she presented with recurrence of scleral inflammation with scleral melt leading to exposure of the valve for which she required patch graft. [2] Goel et al [3] described a patient with bilateral idiopathic healed sclerokeratouveitis with ciliary and intercalary staphyloma where phacoemulsification with intraocular lens implantation and AGV implant were performed as a single-stage procedure for complicated cataract and secondary glaucoma in the left eye. A cadaveric scleral graft was used to cover the AGV and the post-operative outcome was good except for severe anterior chamber inflammation on the second day.…”

Section: Discussionmentioning

confidence: 99%

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A case of idiopathic necrotizing scleritis with secondary glaucoma treated successfully with golimumab and Ahmed valve implantation

Majumder

Jayshree

David

et al. 2019

Indian J Ophthalmol

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A 52-year-old woman presented with idiopathic active scleritis not responding to oral cyclophosphamide, azathioprine, and oral steroid. Her intraocular pressure in the left eye was 45 mm of Hg in spite of using combination of brinzolamide 1% and brimonidine 0.2% (thrice a day), timolol maleate 0.5% (twice a day) eye drops in both eyes and oral acetazolamide. She was administered subcutaneous golimumab 50 mg injection every 4 weeks along with oral methotrexate 15 mg/week. The scleral inflammation responded and she underwent Ahmed glaucoma valve implantation after two months of initiation of golimumab therapy. After one week of surgery her IOP in left eye was the reduced to 8 mm of Hg. The index case showed that Golimumab can be a useful drug in the management of necrotizing scleritis refractory to the conventional therapy.

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“…The use of glaucoma drainage devices should be avoided because they can cause unexpected complications, including conjunctival deficit, scleral melt, and associated visually significant cataracts. 3 We present 2 cases of secondary glaucoma combined with scleromalacia that were successfully treated using 360-degree circumferential trabeculotomy ab interno, which does not damage the conjunctiva or sclera.…”

mentioning

confidence: 99%

Suture Trabeculotomy Ab Interno for Secondary Glaucoma Combined With Scleromalacia

Manabe

Sawaguchi²,

Hayashi³

2016

Journal of Glaucoma

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Ahmed glaucoma valve surgery for necrotizing scleritis with secondary glaucoma

Cited by 7 publications

References 5 publications

Trabeculectomy in Staphyloma Eye with High Intraocular Pressure Following Ocular Trauma – A Case Report

Trabeculectomy in Staphyloma Eye with High Intraocular Pressure Following Ocular Trauma – A Case Report

A case of idiopathic necrotizing scleritis with secondary glaucoma treated successfully with golimumab and Ahmed valve implantation

Suture Trabeculotomy Ab Interno for Secondary Glaucoma Combined With Scleromalacia

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