NDLI: Intracameral vent and flush technique for silicone oil blockade in Ahmed glaucoma valve.

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Intracameral vent and flush technique for silicone oil blockade in Ahmed glaucoma valve.

Content Provider	Europe PMC
Author	Namdev, Vaibhav Panigrahi, Arnav Arora, Monika Gupta, Viney Gupta, Shikha
Copyright Year	2022
Abstract	The presence of emulsified silicone oil in the eye can lead to many complications, glaucoma being one of the most common. Adequate IOP control is difficult to achieve with medical management alone; surgical intervention is often required. Glaucoma drainage device implantation is often the preferred line of surgical intervention in such cases due to trabeculectomy failure from emulsified silicone oil droplets and associated conjunctival scarring. However, the silicone tube of Ahmed glaucoma valve (AGV) may attract the silicone oil droplets, causing blockade of the tube with persistent raised IOP postoperatively. We report one such case where post-AGV silicone oil tube occlusion was treated with semi-conservative surgical management instead of revising the entire surgery or implantation of another drainage device. Our surgical technique of intracameral “vent and flush” offers rapid and effective IOP control in such cases. Postoperatively, normal IOP was achieved. Patency of tube continued to be maintained along with normalization of IOP on subsequent follow-ups.
ISSN	03014738
Journal	Indian Journal of Ophthalmology
Volume Number	70
PubMed Central reference number	PMC9332948
Issue Number	5
PubMed reference number	35502080
e-ISSN	19983689
DOI	10.4103/ijo.ijo_2677_21
Language	English
Publisher	Wolters Kluwer - Medknow
Publisher Date	2022-05-01
Publisher Place	India
Access Restriction	Open
Rights License	This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Copyright: © 2022 Indian Journal of Ophthalmology
Subject Keyword	Ahmed glaucoma valve complications of silicone oil secondary glaucoma
Content Type	Text
Resource Type	Article
Subject	Ophthalmology

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