Surgical treatment of secondary refractory glaucoma in chronic uveitis with corneal dystrophy (clinical case)

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Abstract

BACKGROUND: Uveitis is the inflammation of the iris, ciliary body, vitreous, retina, or vascular membrane, in which the most common complication is a secondary increase in intraocular pressure that is difficult to compensate with antihypertensive drugs. Ahmed valve implantation in uveal glaucoma is an effective surgical method to reduce intraocular pressure.

CLINICAL CASE DESCRIPTION: In the Department of Surgical Treatment of Glaucoma of the S. Fyodorov Eye Microsurgery Federal State Institution, Ahmed valve implantation was performed in two patients with refractory, repeatedly operated uveal glaucoma. As a result of valve implantation, in both cases, compensation of intraocular pressure within up to 15 months after surgery was possible.

CONCLUSION: Ahmed valve implantation in secondary uveal repeatedly operated glaucoma in patients with chronic uveitis and corneal dystrophy achieved compensation of intraocular pressure and preserved visual functions.

About the authors

Anna V. Starostina

The S. Fyodorov Eye Microsurgery Federal State Institution

Email: anna.mntk@mail.ru
ORCID iD: 0000-0002-4496-0703
SPIN-code: 7106-2347

MD, PhD, Research Associate

Russian Federation, Moscow

Aila A. Uyanaeva

The S. Fyodorov Eye Microsurgery Federal State Institution

Email: aj.laaa@mail.ru
ORCID iD: 0009-0004-5367-986X
Russian Federation, Moscow

Amina A. Adzhieva

The S. Fyodorov Eye Microsurgery Federal State Institution

Email: aminkaadzhieva57@gmail.com
ORCID iD: 0009-0006-9283-2198
Russian Federation, Moscow

Mariam R. Taevere

The S. Fyodorov Eye Microsurgery Federal State Institution

Email: taeveremr@gmail.com
ORCID iD: 0000-0003-1013-6924
SPIN-code: 5252-6779

MD, PhD, Research Associate

Russian Federation, Moscow

Margarita R. Khabazova

Federal Medico-Biological Agency Federal Research Clinical Center

Author for correspondence.
Email: rita.khabazova@mail.ru
ORCID iD: 0000-0002-7770-575X
SPIN-code: 2736-9089
Russian Federation, Moscow

References

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Supplementary files

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2. Fig. 1. Biomicroscopy of the right eye before implantation of the Ahmed valve

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3. Fig. 2. B-scan of both eyes before surgery

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4. Fig. 3. Ultrasound biomicroscopy of the right eye

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5. Fig. 4. а — Biomicroscopy of the right eye following Ahmed valve implantation (the arrow indicates the valve tube); б — optical coherence tomography of the anterior segment of the right eye before surgery (the arrow indicates the valve tube)

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6. Fig. 5. Biomicroscopy of the right eye: а — 1 day after Ahmed valve implantation (the arrow indicates the valve tube); б — 6 months after Ahmed valve implantation; в — 15 months after Ahmed valve implantation

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7. Fig. 6. Optical coherence tomography of the anterior segment of the right eye after surgery

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