• Users Online: 178
  • Print this page
  • Email this page


 
 Table of Contents  
OPHTHALMIC IMAGES
Year : 2022  |  Volume : 60  |  Issue : 3  |  Page : 276

Impending tube corneal touch in congenital glaucoma


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

Date of Submission21-Dec-2020
Date of Decision28-Jan-2022
Date of Acceptance07-Feb-2022
Date of Web Publication26-Sep-2022

Correspondence Address:
Sharmila R Rajendrababu
Department of Glaucoma, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Anna Nagar, Madurai - 625 020, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_189_20

Rights and Permissions

How to cite this article:
Rajendrababu SR, Senthilkumar VA. Impending tube corneal touch in congenital glaucoma. TNOA J Ophthalmic Sci Res 2022;60:276

How to cite this URL:
Rajendrababu SR, Senthilkumar VA. Impending tube corneal touch in congenital glaucoma. TNOA J Ophthalmic Sci Res [serial online] 2022 [cited 2022 Nov 30];60:276. Available from: https://www.tnoajosr.com/text.asp?2022/60/3/276/357112



An 8-year old child with a congenital glaucoma status post non-valved Aurolab aqueous drainage implant (AADI) surgery in the left eye (LE) presented for routine review after 5 years. LE clinical examination revealed Haab's striae and an AADI tube in the anterior chamber (AC) with the best corrected visual acuity of 6/12 and an intra-ocular pressure of 18 mmHg. Slit beam evaluation and anterior segment optical coherence tomography (OCT) certainly confirmed the close proximity of the tube with the corneal endothelium throughout its course [Figure 1]a, [Figure 1]b, [Figure 1]c. Straightening of the tube, migration, and retraction are known complications of glaucoma drainage device implantation in children owing to the growing globe. Ideally, the tube has to enter the AC through the trabecular meshwork below the Schwalbe's line to avoid tube endothelial contact. Morever, in the eyes with opaque limbus, it is difficult to objectively judge the same, and hence, intra-operative gonioscopy or anterior segment OCT imaging could provide a real-time assessment of the tube entry site.[1],[2]
Figure 1: (a) Slit lamp photograph of the left eye showing Haab's striae and slit beam revealing close proximity of the AADI tube to the corneal endothelium throughout its course in the anterior chamber; (b) retro-illumination image showing the same; (c) ASOCT image revealing the close proximity of the tube to the corneal endothelium

Click here to view


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.
Rathi SG, Seth NG, Kaur S, Thattaruthody F, Kaushik S, Raj S, et al. A prospective randomized controlled study of Aurolab aqueous drainage implant versus Ahmed glaucoma valve in refractory glaucoma: A pilot study. Indian J Ophthalmol 2018;66:1580-5.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Pandav SS, Seth NG, Thattaruthody F, Kaur M, Akella M, Vats A, et al. Long-term outcome of low-cost glaucoma drainage device (Aurolab aqueous drainage implant) compared with Ahmed glaucoma valve. Br J Ophthalmol 2020;104:557-62.  Back to cited text no. 2
    


    Figures

  [Figure 1]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
References
Article Figures

 Article Access Statistics
    Viewed258    
    Printed20    
    Emailed0    
    PDF Downloaded32    
    Comments [Add]    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]