Retained lens fragment and subluxed IOL chafing induced post-op glaucoma

Retained lens fragment and subluxed IOL chafing induced post-op glaucoma

Patient presents 2 weeks following cataract surgery with retained lens fragments, iris chafing from subluxed IOL, broken bag, IOP of 51 and has had lens fragments supposedly removed already along with multiple paracenteses to attempt to bring the IOP down (along with being placed on multiple glaucoma meds.) Case is discussed and the surgery I performed is presented.

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Intraocular trimming of Ahmed glaucoma tube

Intraocular trimming of Ahmed glaucoma tube

This aphakic patient presented with elevated intra-ocular pressure many years after Ahmed Glaucoma Valve implantation performed by a colleague of mine. 

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Surgical video implanting Ahmed FP7 Glaucoma Valve

Surgical video implanting Ahmed FP7 Glaucoma Valve

This video shows my surgical technique for implanting the Ahmed FP7 Glaucoma Valve. I use this device when traditional glaucoma surgery such as a trabeculectomy or Optonol ExPress mini-shunt has already failed or is likely to fail to achieve adequate pressure reduction. I have noted some of the rationale for why I do certain steps the way that I do but could easily go on for many paragraphs about each step.

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