DIPLOPIA POST GLAUCOMA DRAINAGE DEVICE (GDD): A CASE SERIES
Izzaifa H., Norshamsiah M. D., Jemaima C. H. & Ropilah A. R.
abstract
Diplopia is one of complications of glaucoma treatment especially patient treated with glaucoma drainage device (GDD) due to restrictions of the ocular motility. We reported a series of three cases who developed diplopia following GDD surgery. Case 1, a 46-year-old man who had right eye Baerveldt done in February 2021 after previous 2 trabeculectomies failed. Case 2, a 38-year-old man, a case of bilateral pseudophakic glaucoma. who had bilateral Ahmad glaucoma valve implant 19 years prior. Case 3, a 34-year-old lady who underwent right eye Ahmed glaucoma valve implant in 2004 for congenital glaucoma. All cases developed ocular motility problem and diplopia post operatively. Diplopia is an important complications of glaucoma drainage device which affect the patients with existing restricted visual function. It is important to counsel patients on the occurrence of diplopia associated with GDD surgery.
references
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2. E. Islamaj, C. P. Jordaan-Kuip, K. A. Vermeer, H. G. Lemij, and P. W. T. de Waard, Motility changes and diplopia after baerveldt glaucoma drainage device implantation or after trabeculectomy, Transl Vis Sci Technol, vol. 7, no. 5, Sep. 2018, doi: 10.1167/tvst.7.5.7.
3. E. Scherrer, L. M. Bachmann, O. Job, L. Müller, M. A. Thiel, and F. Bochmann, Occurrence of motility disorders in patients undergoing tube surgery—consecutive, retrospective follow-up case series analysis, Graefe’s Archive for Clinical and Experimental Ophthalmology, vol. 259, no. 8, pp. 2363–2371, Aug. 2021, doi: 10.1007/s00417-021-05202-3.
4. P. Y. Sun, D. A. Leske, J. M. Holmes, and C. L. Khanna, Diplopia in Medically and Surgically Treated Patients with Glaucoma, in Ophthalmology, Elsevier Inc., Feb. 2017, pp. 257–262. doi: 10.1016/j.ophtha.2016.10.006.
5. E. J. Rockwood, The Ahmed Baerveldt Comparison (ABC) Study: Long-Term Results, Successes, Failures, and Complications, American Journal of Ophthalmology, vol. 163. Elsevier Inc., pp. xii–xiv, Mar. 01, 2016. doi: 10.1016/j.ajo.2015.12.031.
6. H. Tanabe, S. Nakakura, A. Noguchi, H. Tabuchi, and Y. Kiuchi, Plate size reduction surgery for the Baerveldt 350-mm2 glaucoma implant for postoperative motor disturbance: A case report, Medicine (United States), vol. 98, no. 37, Sep. 2019, doi: 10.1097/MD.0000000000017163.
7. A. Abdelaziz et al., “Diplopia after glaucoma drainage device implantation,” Journal of AAPOS, vol. 17, no. 2, pp. 192–196, Apr. 2013, doi: 10.1016/j.jaapos.2012.11.017.
8. Coleman AL, Hill R, Wilson MR et al. Initial clinical experience with the Ahmed Glaucoma Valve implant, Am J Ophthalmol 1995 Nov;120(5):684
9. J. González-Martín-Moro et al., Latrogenic diplopia, International Ophthalmology, vol. 34, no. 4. Kluwer Academic Publishers, pp. 1007–1024, 2014. doi: 10.1007/s10792-014-9927-7.