Surgical management of complicated inflammatory glaucoma

• Main Authors: Espinosa-Barberi, Glenda, Galván González, Francisco José, Peláez Viera, David
• Format: Article
• Language: English
• Published: German Medical Science GMS Publishing House 2020-11-01
• Series: GMS Ophthalmology Cases
• Subjects: glaucoma; uveitis; inflammatory glaucoma; express®; xen®; ologen®
• Online Access: http://www.egms.de/static/en/journals/oc/2020-10/oc000170.shtml

Case report: We report a case of a 26-year-old woman with a previous history of complicated ulcerative colitis, as well as multiple episodes of recurrent anterior uveitis in control with adalimumab and methotrexate, who develops ocular hypertension refractory to topical treatment. The implant of an EXPRESS is proposed, but in the immediate post-operative period, the implant causes atalamia and does not achieve the correct control of intraocular pressure. A XEN stent was implanted. Due to failure, it was decided to remove the stent and to release a subconjunctival fibrosis that had formed at the subconjunctival portion of the XEN, in association with coating by an Ologen collagen matrix, which led to an improvement of the results.Conclusions: The surgical management of inflammatory glaucoma is complex in young patients with a scar component. The new minimally invasive techniques are effective in cases refractory to topical treatment, whose characteristics prevent the use of conventional ones.