Open AccessManagement of recurrent aqueous misdirection by anterior segment surgeon after failed pars plana posterior vitrectomy
Author(s) -
Vanita Pathak-Ray,
Varun Malhotra
Publication year - 2019
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_1430_18
Subject(s) - vitrectomy , pars plana , medicine , anterior eye segment , ophthalmology , posterior segment of eyeball , glaucoma , intraocular pressure , surgery , visual acuity , cornea
Aqueous misdirection (AM) is a dreaded complication, but fortunately quite rare. It usually occurs after intervention for angle closure glaucoma. When pharmacotherapy and/or laser interventions are unsuccessful, then the surgical management hitherto most commonly undertaken is pars plana posterior vitrectomy. We describe the management of recurrent AM via the anterior route, when it occurred following relapse as pars plana posterior vitrectomy failed to result in long-term normalization of anterior chamber and intraocular pressure. Anterior vitrector with anterior vitrectomy settings was used by a glaucoma specialist to carry out the procedure.