Ab Interno Ahmed Glaucoma Valve Plugs In An Eye With Persistent Hypotony

J Glaucoma. 2024 May 1;33(5):e21-e23. doi: 10.1097/IJG.0000000000002352. Epub 2023 Dec 25.

Abstract

Purpose: This case report aims to describe a new method for increasing intraocular pressure (IOP) in patients with acute hypotony resulting from uveitis flare-ups and preexisting glaucoma drainage devices. The temporary glaucoma tube plug method described is effective and safe.

Methods: This case report presents a 47-year-old female patient with a history of chronic panuveitis and secondary glaucoma, who had 2 previously implanted Ahmed glaucoma valves. The patient developed panuveitis flare-up and persistent hypotony. A novel method of ab interno plugging of the glaucoma tubes using 2-0 prolene suture plugs was performed. Following treatment, the IOP increased successfully and remained within the normal range.

Conclusion: The temporary ab interno glaucoma tube plug method effectively increased IOP in a patient with 2 preimplanted Ahmed glaucoma valves with persistent low IOP due to uveitis.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Glaucoma / complications
  • Glaucoma / physiopathology
  • Glaucoma / surgery
  • Glaucoma Drainage Implants*
  • Humans
  • Intraocular Pressure* / physiology
  • Middle Aged
  • Ocular Hypotension* / diagnosis
  • Ocular Hypotension* / etiology
  • Ocular Hypotension* / physiopathology
  • Ocular Hypotension* / surgery
  • Prosthesis Implantation
  • Suture Techniques
  • Tonometry, Ocular
  • Visual Acuity / physiology