Aspergillus infection in Ahmed ClearPath Implant with Tube Exposure

Zulkifli Shamim-Afiqah, Abdul-Rashid Munirah, Kamarudin Haireen, Embong Zunaina

Abstract


We report a case of a 17-year-old girl who underwent glaucoma drainage device (GDD) surgery for refractory glaucoma following vitreoretinal surgery for retinal detachment. The procedure was complicated by tube exposure and fungal infection. Despite attempts at conjunctival re-suturing, severe conjunctival scarring from previous surgeries rendered it impossible, leading to the explantation of the GDD. The patient responded well to topical antibiotics and antifungal medications, with no signs of further infection progression. Prompt management upon detection of GDD surgery complications are important to prevent visually blinding complications such as endophthalmitis.


Keywords


Glaucoma drainage device, Ahmed ClearPath, refractory glaucoma, tube exposure

Full Text:

PDF

References


Gandhi M, Bhartiya S. Glaucoma drainage devices: a practical illustrated guide. Singapore: Springer; 2019. doi: 10.1007/978-981-13-5773-2.

Salim NL, Azhany Y, Abdul Rahman Z, Yusof R, Liza-Sharmini AT. Infected Baerveldt glaucoma drainage device by Aspergillus niger. Case Rep Ophthalmol Med. 2015;2015: 249419. doi: 10.1155/2015/249419.

Gedde SJ, Scott IU, Tabandeh H, Luu KK, Budenz DL, Greenfield DS, et al. Late endophthalmitis associated with glaucoma drainage implants. Ophthalmology. 2001;108(7):1323–1327. doi: 10.1016/s0161-6420(01)00598-x.

Wentzloff JN, Grosskreutz CL, Pasquale LR, Walton DS, Chen TC. Endophthalmitis after glaucoma drainage implant surgery. Int Ophthalmol Clin. 2007;47(2):109–115. doi: 10.1097/IIO.0b013e318037766a.

Kolipaka GP, Rao A. Secondary glaucoma following vitreo-retinal surgeries. Indian J Ophthalmol. 2023;71(1):18-25. doi: 10.4103/ijo.IJO_1155_22.

Erçalık NY, İmamoğlu S. Ahmed glaucoma valve implantation in vitrectomized eyes. J Ophthalmol. 2018;2018:9572805. doi: 10.1155/2018/9572805.

Dorairaj S, Checo LA, Wagner IV, Ten Hulzen RD, Ahuja AS. 24-month outcomes of Ahmed ClearPath® glaucoma drainage device for refractory glaucoma. Clin Ophthalmol. 2022;16:2255–2262. doi: 10.2147/OPTH.S368634.

Heuer DK, Budenz D, Coleman A. Aqueous shunt tube erosion. J Glaucoma. 2001;10(6):493-6. doi: 10.1097/00061198-200112000-00010.

Al-Torbak AA, Al-Shahwan S, Al-Jadaan I, Al-Hommadi A, Edward DP. Endophthalmitis associated with the Ahmed glaucoma valve implant. Br J Ophthalmol. 2005;89(4):454–458. doi: 10.1136/bjo.2004.049015.




Copyright (c) 2024 Journal of Biomedical and Clinical Sciences (JBCS)

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

Flag Counter           

                     

                                              Copyright © 2016 AMDI Publisher, Universiti Sains Malaysia.
Disclaimer : This website has been updated to the best of our knowledge to be accurate. However, Universiti Sains Malaysia shall not be liable for any loss or damage caused by the usage of any information obtained from this web site.
                                            Best viewed: Mozilla Firefox 4.0 & Google Chrome at 1024 × 768 resolution.