Altwijri Rahaf Jalal, Alsirhy Ehab
Department of Ophthalmology, King Saud University Hospital, Riyadh 13211, Saudi Arabia.
Glaucoma and Cataract, Department of Ophthalmology, King Abdulaziz University Hospital, King Saud University, Riyadh 15112, Saudi Arabia.
World J Clin Cases. 2024 Oct 6;12(28):6217-6221. doi: 10.12998/wjcc.v12.i28.6217.
Glaucoma is caused by increased intraocular pressure (IOP) that damages the optic nerve, leading to blindness. The Ahmed glaucoma valve (AGV) is a glaucoma drainage implant device that is used in glaucoma patients with uncontrolled IOP. A possible complication after any ocular surgery however is hyphema, which can itself progress to uveitis glaucoma hyphema (UGH) syndrome on rare occasions. UGH syndrome has not yet been reported as a complication of AGV implantation.
Here, we have reported a case of a 55-year-old female who developed both hyphema and pigmentation as a result of AGV implantation. We confirmed UGH syndrome secondary to AGV implantation after the patient underwent another surgery to shorten and reposition the AGV tube. After the second surgery, the patient's IOP was reduced, and she had a clear cornea and no signs of hyphema.
This first report of UGH syndrome as a complication of AGV implantation reminds clinicians that frequent follow-up is paramount.
青光眼是由眼内压（IOP）升高导致视神经受损进而引起失明。艾哈迈德青光眼引流阀（AGV）是一种用于眼压控制不佳的青光眼患者的青光眼引流植入装置。然而，任何眼部手术后都可能出现前房积血这一并发症，极少数情况下其本身会发展为葡萄膜炎青光眼前房积血（UGH）综合征。UGH综合征尚未被报道为AGV植入的并发症。
在此，我们报告了一例55岁女性患者，因AGV植入出现了前房积血和色素沉着。在患者接受另一次手术以缩短并重新定位AGV导管后，我们确诊为AGV植入继发UGH综合征。第二次手术后，患者的眼压降低，角膜清亮且无前房积血迹象。
UGH综合征作为AGV植入并发症的首例报告提醒临床医生频繁随访至关重要。
