Japanese

Baerveldt® implant was effective for glaucoma in a case of congenital aniridia Kanako Yamada 1 , Masafumi Uematsu 1 , Azusa Fujikawa 1 , Naoki Imamura 1 , Shogo Ikeda 1 , Takashi Kitaoka 1 1Department of Ophthalmology, Nagasaki University Hospital pp.389-394
Published Date 2017/3/15
DOI https://doi.org/10.11477/mf.1410212197
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Abstract Purpose: To report a case of congenital aniridia in whom Baerveldt® implant was effective for glaucoma.

Case: A female baby was referred to us on day 20 after birth for aniridia. There was reportedly no problem during pregnancy. She was born with the birthweight of 2,106 g. Her father had aniridia with glaucoma. Her maternal grandfather had retinitis pigmentosa.

Findings and Clinical Course: Intraocular pressure(IOP)under general anesthesia was 10 mmHg right and 9 mmHg left. Both eyes showed total aniridia, lens opacity and excavation of optic disc. Corneal diameter was 11 mm in either eye. Axial length was 20.38 mm right and 20.33 mm left. IOP increased to 30 mmHg in both eyes at the age of 2 years 11 months, necessitating treatment with multiple eyedrops. Trabeculotomy was performed 3 times on both eyes between 4 and 6 years of age. Baerveldt® implant surgery was performed on the right eye at the age of 6 years 2 months. Hypotony and choroidal detachment developed on day 3 and was treated by ligature of implant. She has been doing well for 18 months until present.

Conclusion: Glaucoma secondary to congenital aniridia may be refractory to treatment. Baerveldt® implant surgery promises to be effective in such cases.


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