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Intraocular lens dislocation and tube shunt in the posterior chamber: a case report
BACKGROUND: To describe management of a case of intraocular lens (IOL) and capsular bag (CB) dislocation in an eye with an Ahmed glaucoma valve in the posterior chamber. CASE PRESENTATION: A 75-year-old pseudophakic man with open-angle glaucoma and diabetic retinopathy developed neovascular glaucoma...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4475289/ https://www.ncbi.nlm.nih.gov/pubmed/26094031 http://dx.doi.org/10.1186/s12886-015-0046-7 |
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author | Moreno-Montañés, Javier Velázquez-Villoria, Alvaro Sabater, Alfonso L. Salinas-Alamán, Angel |
author_facet | Moreno-Montañés, Javier Velázquez-Villoria, Alvaro Sabater, Alfonso L. Salinas-Alamán, Angel |
author_sort | Moreno-Montañés, Javier |
collection | PubMed |
description | BACKGROUND: To describe management of a case of intraocular lens (IOL) and capsular bag (CB) dislocation in an eye with an Ahmed glaucoma valve in the posterior chamber. CASE PRESENTATION: A 75-year-old pseudophakic man with open-angle glaucoma and diabetic retinopathy developed neovascular glaucoma. After two intravitreous injections of bevacizumab and panretinal photocoagulation were administered, the new vessels regressed. However, goniosynechiae were observed over 360° of the angle. An Ahmed glaucoma valve model FP7 was implanted with the tube in the posterior chamber with adequate intraocular pressure control. Nineteen years after cataract surgery, when the IOL-CB complex became dislocated, they were sutured transclerally to the sulcus without Ahmed glaucoma valve modification. After a coughing episode, the vitreous pushed the IOL-CB complex forward and the tube was behind the IOL-CB complex. A 25-gauge posterior vitrectomy was performed, and the tube was returned to in front of the optic of the IOL using a forceps tip through a sclerotomy. CONCLUSION: This case suggested that management of IOL-CB dislocation can modify glaucoma shunt function. A complete pars plana vitrectomy may be required in order to reposition the dislocated IOL-CB complex in the presence of a posterior chamber drainage tube implant. |
format | Online Article Text |
id | pubmed-4475289 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-44752892015-06-21 Intraocular lens dislocation and tube shunt in the posterior chamber: a case report Moreno-Montañés, Javier Velázquez-Villoria, Alvaro Sabater, Alfonso L. Salinas-Alamán, Angel BMC Ophthalmol Case Report BACKGROUND: To describe management of a case of intraocular lens (IOL) and capsular bag (CB) dislocation in an eye with an Ahmed glaucoma valve in the posterior chamber. CASE PRESENTATION: A 75-year-old pseudophakic man with open-angle glaucoma and diabetic retinopathy developed neovascular glaucoma. After two intravitreous injections of bevacizumab and panretinal photocoagulation were administered, the new vessels regressed. However, goniosynechiae were observed over 360° of the angle. An Ahmed glaucoma valve model FP7 was implanted with the tube in the posterior chamber with adequate intraocular pressure control. Nineteen years after cataract surgery, when the IOL-CB complex became dislocated, they were sutured transclerally to the sulcus without Ahmed glaucoma valve modification. After a coughing episode, the vitreous pushed the IOL-CB complex forward and the tube was behind the IOL-CB complex. A 25-gauge posterior vitrectomy was performed, and the tube was returned to in front of the optic of the IOL using a forceps tip through a sclerotomy. CONCLUSION: This case suggested that management of IOL-CB dislocation can modify glaucoma shunt function. A complete pars plana vitrectomy may be required in order to reposition the dislocated IOL-CB complex in the presence of a posterior chamber drainage tube implant. BioMed Central 2015-06-21 /pmc/articles/PMC4475289/ /pubmed/26094031 http://dx.doi.org/10.1186/s12886-015-0046-7 Text en © Moreno-Montañés et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Moreno-Montañés, Javier Velázquez-Villoria, Alvaro Sabater, Alfonso L. Salinas-Alamán, Angel Intraocular lens dislocation and tube shunt in the posterior chamber: a case report |
title | Intraocular lens dislocation and tube shunt in the posterior chamber: a case report |
title_full | Intraocular lens dislocation and tube shunt in the posterior chamber: a case report |
title_fullStr | Intraocular lens dislocation and tube shunt in the posterior chamber: a case report |
title_full_unstemmed | Intraocular lens dislocation and tube shunt in the posterior chamber: a case report |
title_short | Intraocular lens dislocation and tube shunt in the posterior chamber: a case report |
title_sort | intraocular lens dislocation and tube shunt in the posterior chamber: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4475289/ https://www.ncbi.nlm.nih.gov/pubmed/26094031 http://dx.doi.org/10.1186/s12886-015-0046-7 |
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