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- W4385612278 abstract "A 50-year-old female patient with refractory secondary glaucoma post vitreoretinal surgery underwent an Aurolab aqueous drainage implant (AADI) in the right eye. On examination, her best corrected visual acuity (BCVA) was 20/40, and intraocular pressure (IOP) was 12 mm Hg. Slit-lamp examination showed diffuse bleb around the AADI plate in the superotemporal quadrant, a tube well covered by conjunctiva, clear cornea, a deep anterior chamber with a 1 mm long tube at 12’o clock position, a linear patch of iris atrophy near the tube, and posterior chamber intraocular lens (IOL). The length of the tube in the anterior chamber varied with eye movement ranging from 3 mm in upgaze [Fig. 1a] to 1 mm in primary gaze [Fig. 1b] and barely visible in downgaze [Fig. 1c]. Posterior segment examination revealed a 0.7:1 cup-to-disc ratio and attached retina. The patient was followed up regularly without surgical intervention as there was no inflammation or sight-threatening complication.Figure 1: Slit-lamp image showing a 3 mm long tube in the anterior chamber in upgaze (a), a 1 mm long tube with iris atrophy (arrowhead) in primary gaze, (b) and a tube barely visible in downgaze (c)Discussion The dynamic movement of the tube following glaucoma drainage device implantation was a rare complication. The possible reason could be the loosening of the non-absorbable suture, which anchors the plate to the sclera and/or a stronger adhesion of the fibrous capsule around the plate to the fornix than to the sclera.[1-3] Iris atrophy seen in our patient was probably because of the tube being very close to the iris, leading to constant rubbing of the tube on the iris during eye movements as well as the rubbing of the iris on the tube during pupil reaction to light. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest." @default.
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- W4385612278 date "2023-01-01" @default.
- W4385612278 modified "2023-09-25" @default.
- W4385612278 title "Dynamic tube of Aurolab aqueous drainage implant" @default.
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- W4385612278 doi "https://doi.org/10.4103/ijo.ijo_3031_22" @default.
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