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Abstract #99113 Published in IGR 22-4
Management of a recurrent encapsulated bleb with a cost-effective non-valved glaucoma drainage device
Puthuran GV; Wijesinghe HK; Jain M; Palmberg PBritish Medical Journal (Clinical Research Edition) Case Reports 2022; 15:
Despite the advancements in the surgical management of glaucoma, childhood glaucoma remains a challenging surgical disease worldwide. An early adolescent boy with primary congenital glaucoma, status after glaucoma drainage device (GDD) implantation, on maximum medical therapy, was presented with a swelling in the superotemporal orbital region. The patient had undergone an uneventful GDD implantation 2 years prior to presentation. A similar swelling, which was diagnosed to be a Tenon's cyst, had been excised on three earlier occasions. Given that the repeat capsular excision would also have the same likelihood of failure, and poor intraocular pressure control, a non-valved, cost-effective Aurolab aqueous drainage implant (AADI, Aurolab, Madurai, India) implantation was done inferonasally. In this patient, AADI proved to be a safe and effective alternative for the known GDDs.
Glaucoma Services, Aravind Eye Hospital and Postgraduate Institute, Madurai, Tamil Nadu, India.
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