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OPHTHALMIC IMAGES
Year : 2022  |  Volume : 60  |  Issue : 3  |  Page : 275

Dynamic tube movement of Aurolab aqueous drainage implant associated with recurrent iritis


Department of Glaucoma, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Anna Nagar, Madurai, Tamil Nadu, India

Date of Submission28-Jan-2022
Date of Decision04-Jul-2022
Date of Acceptance08-Jul-2022
Date of Web Publication26-Sep-2022

Correspondence Address:
Vijayalakshmi A Senthilkumar
Department of Glaucoma, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Anna Nagar, Madurai - 625 020, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_16_22

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How to cite this article:
Senthilkumar VA, Pavan K. Dynamic tube movement of Aurolab aqueous drainage implant associated with recurrent iritis. TNOA J Ophthalmic Sci Res 2022;60:275

How to cite this URL:
Senthilkumar VA, Pavan K. Dynamic tube movement of Aurolab aqueous drainage implant associated with recurrent iritis. TNOA J Ophthalmic Sci Res [serial online] 2022 [cited 2022 Nov 30];60:275. Available from: https://www.tnoajosr.com/text.asp?2022/60/3/275/357107



A 50-year-old female patient, a known case of pseudoexfoliation glaucoma, who underwent Aurolab aqueous drainage implant (AADI) 3 years ago in the left eye (LE) presented with intermittent episodes of redness and pain. Best-corrected visual acuity (BCVA) and intraocular pressure (IOP) in LE were 6/18 and 14 mm Hg, respectively. Anterior segment evaluation revealed a long mobile tube in the anterior chamber extending towards the pupillary margin, the length of the tube varying about 1–2 mm with different gaze positions and minimal AC reaction. Intermittently, the tip of the tube moved posteriorly to the iris with a diffuse avascular bleb superotemporally [Figure 1]a, [Figure 1]b, [Figure 1]c, [Figure 1]d. She had earlier presented with similar multiple episodes of iritis, which was treated with topical steroid eye drops. Specular microscopy LE revealed no significant change in the density and shape of the corneal endothelium. At the last follow-up visit, IOP was 16 mmHg and vision was stable at 6/12 and the patient was doing well without any evidence of iritis. Dynamic tube movement (DTM) of AADI occurs due to the dissociation of the fibrovascular capsule and plate in the fornix from the rotation of the globe.[1],[2],[3] Here, we report the rare presentation of DTM of the AADI tube associated with recurrent iritis, which could possibly be due to repeated rubbing of the iris.
Figure 1: (a–d) Anterior segment photographs of the left eye showing dynamic tube movement of AADI of about 1–2 mm in the anterior chamber with different gaze positions, and intermittently, the tip of the tube moved posteriorly to the iris (c–d)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Law SK, Coleman AL, Caprioli J. Dynamic tube movement of Ahmed glaucoma valve. J Glaucoma 2009;18:628-31.  Back to cited text no. 1
    
2.
Senthil S, Badakare A. Dynamic tube movement after reimplantation of Ahmed glaucoma valve in a child with glaucoma in aphakia. BMJ Case Rep 2014;2014:bcr2013203197.  Back to cited text no. 2
    
3.
Plotnik J. Surgical intervention for dynamic movement of a glaucoma drainage device with shifting tube position associated with corneal edema and cataract. Am J Ophthalmol Case Rep 2020;20:100802.  Back to cited text no. 3
    


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