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Abstract #78421 Published in IGR 20-1

Proptosis masquerading as buphthalmos following glaucoma drainage device surgery in a child with congenital glaucoma

Alonzo B; Edmunds B; Loh AR
Journal of AAPOS 2018; 22: 475-477.e1


Glaucoma drainage devices are commonly used in the surgical treatment of children with glaucoma. We report a case of unusually large reservoir formation causing proptosis, exposure keratopathy, and motility deficits. This case highlights the importance of B-scan and axial length measurements in differentiating proptosis from buphthalmos in children with glaucoma. Reducing the reservoir improved the proptosis and resolved the motility and exposure issues.

Department of Ophthalmology, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon.

Full article

Classification:

9.1.1 Congenital glaucoma, Buphthalmos (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)



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