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BMJ Case Rep. 2014 Apr 2;2014. pii: bcr2013203197. doi: 10.1136/bcr-2013-203197.

Dynamic tube movement after reimplantation of Ahmed glaucoma valve in a child with glaucoma in aphakia.

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  • 1Department of Glaucoma, L V Prasad Eye Institute, Hyderabad, Andhra Pradesh, India.


A 10-year-old girl underwent an Ahmed glaucoma valve (AGV) implantation as a primary procedure for glaucoma in aphakia due to congenital cataract surgery. Following an unintended accidental excision of AGV tube during bleb revision for hypertensive phase, AGV was explanted and a second AGV was implanted in the same quadrant after 2 weeks. This resulted in a rare complication of dynamic tube movement in the anterior chamber with tube corneal touch and localised corneal oedema. Excision of the offending unstable tube and placement of a paediatric AGV in a different quadrant led to resolution of this complication, stable vision and well-controlled intraocular pressure. This case highlights the possible causes of dynamic tube, related complications and its management. This case also highlights the importance of understanding the various physiological phases after glaucoma drainage device implantation and their appropriate management.

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