TY - JOUR ID - 3815 TI - Simple Suturing Procedure to Manage a Flat Anterior Chamber Secondary to a Malfunctioned Ahmed Glaucoma Valve JO - Journal of Patient Safety & Quality Improvement JA - PSJ LA - en SN - 2345-4482 AU - Zarei-Ghanavati, Siamak AU - Shokoohi-Rad, Saeed AU - Naseri, Mohammad Hashem AU - Alizadeh, Reza AD - Eye Research Centre, Khatam-al-Anbia Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. AD - Eye Research Centre, Khatam-al-Anbia Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran AD - Retinal Research Centre, Khatam-al-Anbia Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. AD - Cornea Research Centre, Khatam-al-Anbia Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Y1 - 2015 PY - 2015 VL - 3 IS - 1 SP - 201 EP - 202 KW - Ahmed glaucoma valve KW - Flat anterior chamber KW - Hypotony KW - 5.0 nylon suture DO - 10.22038/psj.2015.3815 N2 - Introduction: Presenting a case with repeated episodes of flat Anterior Chamber (AC) after Ahmed valve implantation, and suggesting a simple suturing procedure to manage these recurrences. Case:A 65-year-old woman presented to our clinic with uncontrolled Neovascular Glaucoma (NVG) in her left eye due to advanced Proliferative Diabetic Retinopathy (PDR) despite full medication to reduce Intraocular Pressure (IOP). After Ahmed valve implantation, anterior chamber became flattened spontaneously on postoperative day one. Therefore, we filled the AC with air at the first attempt but this procedure failed a day later. Then, we filled the AC with an ocular viscoelastic device. Because of these procedures failed to keep the AC formed, we hypothesized that it may be a malfunctioned valve. Therefore, we inserted 5-0 Nylon in Ahmed tube through AC and fixed it to the subconjunctiva two days after the second procedure. Anterior chamber remained deep and its shallowing did not occur despite removing the suture two weeks after the insertion. The IOP was controlled well with a functional filtering device at the last follow–up visit four months after the surgery. Conclusion: Spontaneous episodes of flat AC after Ahmed valve implantation in an eye can be well managed by inserting a removable suture into the Ahmed valve tube. UR - https://psj.mums.ac.ir/article_3815.html L1 - https://psj.mums.ac.ir/article_3815_5b4f73556f5be51f07f0ac94cbda5651.pdf ER -