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Subinternal limiting membrane hemorrhage post-Ahmed glaucoma valve in vitrectomized eye
Bhuvan Chanana1, Garima Kajla1, Sudhank Bharti1
1Vitreo-Retina Services, Bharti Eye Foundation and Hospital, New Delhi, India.
Oman Journal of Ophthalmology
|June 23, 2018
Summary
A rare complication of Ahmed glaucoma valve surgery in a vitrectomized eye is premacular sub-internal limiting membrane hemorrhage. This case highlights the need for prompt vitreoretinal intervention for such bleeds.
Area of Science:
- Ophthalmology
- Vitreoretinal Surgery
Background:
- Glaucoma drainage devices, like the Ahmed glaucoma valve (AGV), are crucial for refractory glaucoma management.
- Early complications of glaucoma surgery include hypotony, choroidal effusion, and hemorrhage.
Observation:
- An 8-year-old male with angle recession glaucoma post-vitrectomy presented with uncontrolled intraocular pressure (IOP).
- Following AGV implantation, the patient developed a persistent premacular sub-internal limiting membrane (ILM) hemorrhage.
Findings:
- The sub-ILM hemorrhage did not resolve spontaneously after 4 weeks.
- A vitreoretinal intervention was required to remove the thickened ILM and the sub-ILM bleed.
Implications:
- This case is the first reported instance of sub-ILM hemorrhage after AGV implantation in a vitrectomized eye.
- It underscores the potential for unique complications in complex glaucoma cases and the role of vitreoretinal surgery in management.
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