Recurrent encapsulation after Ahmed glaucoma valve implantation in a patient with Schwartz–Matsuo syndrome
Glaucoma drainage devices (GDDs) are an important tool for the treatment of complicated/refractory glaucoma cases. Excessive capsular fibrosis is a frequent cause of long-term failure of Ahmed® glaucoma valve (AGV) that is difficult to manage and often requires additional surgical interventions. We...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | The Pan-American Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/pajo.pajo_88_24 |
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| author | Ana Rita Viana Ricardo Bastos Carolina Vale Paula Tenedório |
| author_facet | Ana Rita Viana Ricardo Bastos Carolina Vale Paula Tenedório |
| author_sort | Ana Rita Viana |
| collection | DOAJ |
| description | Glaucoma drainage devices (GDDs) are an important tool for the treatment of complicated/refractory glaucoma cases. Excessive capsular fibrosis is a frequent cause of long-term failure of Ahmed® glaucoma valve (AGV) that is difficult to manage and often requires additional surgical interventions. We describe a severe case of recurrent encapsulation and restrictive strabismus following AGV implantation in a young man with Schwartz–Matsuo syndrome. The patient underwent a first surgical revision that consisted of the excision of the fibrous capsule. However, a second intervention was soon needed, in which the fibrous capsule and the AGV were removed, and an Ahmed ClearPath® was implanted in the nasal-inferior quadrant. The ocular movements were successfully restored and the intraocular pressure was well controlled. GDDs can fail due to excessive wound healing and fibrosis around the plate. Severe cases occur more often in young patients. Ahmed ClearPath® can be a good option for eyes more prone to complications. |
| format | Article |
| id | doaj-art-1613f29057404d54a0bfb9d29202f698 |
| institution | Kabale University |
| issn | 2666-4909 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Pan-American Journal of Ophthalmology |
| spelling | doaj-art-1613f29057404d54a0bfb9d29202f6982025-01-14T08:39:36ZengWolters Kluwer Medknow PublicationsThe Pan-American Journal of Ophthalmology2666-49092024-12-0163494910.4103/pajo.pajo_88_24Recurrent encapsulation after Ahmed glaucoma valve implantation in a patient with Schwartz–Matsuo syndromeAna Rita VianaRicardo BastosCarolina ValePaula TenedórioGlaucoma drainage devices (GDDs) are an important tool for the treatment of complicated/refractory glaucoma cases. Excessive capsular fibrosis is a frequent cause of long-term failure of Ahmed® glaucoma valve (AGV) that is difficult to manage and often requires additional surgical interventions. We describe a severe case of recurrent encapsulation and restrictive strabismus following AGV implantation in a young man with Schwartz–Matsuo syndrome. The patient underwent a first surgical revision that consisted of the excision of the fibrous capsule. However, a second intervention was soon needed, in which the fibrous capsule and the AGV were removed, and an Ahmed ClearPath® was implanted in the nasal-inferior quadrant. The ocular movements were successfully restored and the intraocular pressure was well controlled. GDDs can fail due to excessive wound healing and fibrosis around the plate. Severe cases occur more often in young patients. Ahmed ClearPath® can be a good option for eyes more prone to complications.https://journals.lww.com/10.4103/pajo.pajo_88_24ahmed glaucoma valvebleb encapsulationglaucoma drainage devicesrestrictive strabismusschwartz–matsuo syndrome |
| spellingShingle | Ana Rita Viana Ricardo Bastos Carolina Vale Paula Tenedório Recurrent encapsulation after Ahmed glaucoma valve implantation in a patient with Schwartz–Matsuo syndrome The Pan-American Journal of Ophthalmology ahmed glaucoma valve bleb encapsulation glaucoma drainage devices restrictive strabismus schwartz–matsuo syndrome |
| title | Recurrent encapsulation after Ahmed glaucoma valve implantation in a patient with Schwartz–Matsuo syndrome |
| title_full | Recurrent encapsulation after Ahmed glaucoma valve implantation in a patient with Schwartz–Matsuo syndrome |
| title_fullStr | Recurrent encapsulation after Ahmed glaucoma valve implantation in a patient with Schwartz–Matsuo syndrome |
| title_full_unstemmed | Recurrent encapsulation after Ahmed glaucoma valve implantation in a patient with Schwartz–Matsuo syndrome |
| title_short | Recurrent encapsulation after Ahmed glaucoma valve implantation in a patient with Schwartz–Matsuo syndrome |
| title_sort | recurrent encapsulation after ahmed glaucoma valve implantation in a patient with schwartz matsuo syndrome |
| topic | ahmed glaucoma valve bleb encapsulation glaucoma drainage devices restrictive strabismus schwartz–matsuo syndrome |
| url | https://journals.lww.com/10.4103/pajo.pajo_88_24 |
| work_keys_str_mv | AT anaritaviana recurrentencapsulationafterahmedglaucomavalveimplantationinapatientwithschwartzmatsuosyndrome AT ricardobastos recurrentencapsulationafterahmedglaucomavalveimplantationinapatientwithschwartzmatsuosyndrome AT carolinavale recurrentencapsulationafterahmedglaucomavalveimplantationinapatientwithschwartzmatsuosyndrome AT paulatenedorio recurrentencapsulationafterahmedglaucomavalveimplantationinapatientwithschwartzmatsuosyndrome |