Abstract
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.
Keywords
Publication details
- DOI
- 10.4103/0974-620x.142600
- Journal
- Oman Journal of Ophthalmology, 7(3), 147-149
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Dubey, S., Pegu, J., Agarwal, M., & Agrawal, A. (2014). Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma. Oman Journal of Ophthalmology, 7(3), 147-149. https://doi.org/10.4103/0974-620x.142600
MLA 9
Dubey, Suneeta, et al. "Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma." Oman Journal of Ophthalmology, vol. 7, no. 3, 2014, pp. 147-149. https://doi.org/10.4103/0974-620x.142600.
Chicago (author–date)
Dubey, Suneeta, Julie Pegu, Manisha Agarwal, and Anugya Agrawal. 2014. "Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma." Oman Journal of Ophthalmology 7 (3): 147-149. https://doi.org/10.4103/0974-620x.142600.
Harvard
Dubey, S., Pegu, J., Agarwal, M. and Agrawal, A. (2014) 'Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma', Oman Journal of Ophthalmology, 7(3), pp. 147-149. doi:10.4103/0974-620x.142600.
Vancouver
Dubey S, Pegu J, Agarwal M, Agrawal A. Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma. Oman Journal of Ophthalmology. 2014;7(3):147-149. doi:10.4103/0974-620x.142600
IEEE
S. Dubey, J. Pegu, M. Agarwal, and A. Agrawal, "Vitreous occlusion of tube implant in a phakic patient with traumatic glaucoma," Oman Journal of Ophthalmology, vol. 7, no. 3, pp. 147-149, 2014, doi: 10.4103/0974-620x.142600.