RESUMO
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.
Assuntos
Implantes para Drenagem de Glaucoma , Pressão Intraocular , Hipotensão Ocular , Humanos , Feminino , Pessoa de Meia-Idade , Pressão Intraocular/fisiologia , Hipotensão Ocular/fisiopatologia , Hipotensão Ocular/etiologia , Hipotensão Ocular/diagnóstico , Hipotensão Ocular/cirurgia , Glaucoma/cirurgia , Glaucoma/fisiopatologia , Glaucoma/complicações , Implantação de Prótese , Tonometria Ocular , Acuidade Visual/fisiologia , Técnicas de SuturaRESUMO
A 67-year-old woman with history of mild suture hyper-sensitivity presented with localized scleritis after strabismus surgery. After infection was ruled out, the patient was prescribed topical and systemic non-steroidal anti-inflammatory drugs and systemic steroids, which led to full clinical resolution. [J Pediatr Ophthalmol Strabismus. 2024;61(1):e4-e6.].