Work

Post‐Trabeculectomy Refractory Shallow Anterior Chamber: A Case Highlighting Overlooked Patient Behavior

Year: 2025

Type: article

Abstract: A shallow anterior chamber (AC) after glaucoma filtration surgery is a common early postoperative complication that can be vision-threatening. So, early recognition of the causative factors and prompt management are necessary to avoid such devastating complications after surgery. This case report presents a 33-year-old patient with primary angle closure glaucoma who initially presented with an acute angle closure crisis in both eyes. Despite having maximum tolerated anti-glaucoma medications, his target IOP was not achieved, and he later underwent augmented trabeculectomy with mitomycin C in his right eye. However, frequent swallowing of the AC was noticed in the early postoperative days. Revision surgeries with AC reformation were done after initially dealing with the unrecognized patient factor and maintaining good vision with well-controlled intraocular pressure and a well-formed AC. After incisional glaucoma surgeries, it is essential to warn patients about external factors contributing to postoperative complications, like shallow AC.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.70970

Authors: Md. Iftekher Iqbal, Fariah Osman

Institution: Ispahani Islamia Eye Institute and Hospital

Language: English

Topic: Glaucoma and retinal disorders

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820