Proptosis masquerading as buphthalmos following glaucoma drainage device surgery in a child with congenital glaucoma

J AAPOS. 2018 Dec;22(6):475-477.e1. doi: 10.1016/j.jaapos.2018.04.014. Epub 2018 Aug 23.

Abstract

Glaucoma drainage devices are commonly used in the surgical treatment of children with glaucoma. We report a case of unusually large reservoir formation causing proptosis, exposure keratopathy, and motility deficits. This case highlights the importance of B-scan and axial length measurements in differentiating proptosis from buphthalmos in children with glaucoma. Reducing the reservoir improved the proptosis and resolved the motility and exposure issues.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blepharoplasty / methods
  • Conjunctiva / pathology
  • Exophthalmos / diagnosis
  • Exophthalmos / etiology*
  • Exophthalmos / surgery
  • Female
  • Glaucoma / congenital
  • Glaucoma / physiopathology
  • Glaucoma / surgery*
  • Glaucoma Drainage Implants / adverse effects*
  • Humans
  • Hydrophthalmos / complications*
  • Hydrophthalmos / diagnosis
  • Hydrophthalmos / surgery
  • Infant
  • Intraocular Pressure
  • Postoperative Complications*
  • Reoperation
  • Tomography, X-Ray Computed
  • Ultrasonography
  • Visual Acuity*