Abstract:

A female patient, aged fifty and nine years old, went to our clinic with pain and vision reduction developed 3 days ago in the right hand. The patient was diagnosed 1 year ago with an Express tube implantation due to glocom in the external center, 8 months ago with a fakoemulsification-iol and 1 month ago with a trabeculectomy surgery. The patient with high intraocular pressure was performed for the second time a trabeculectomy surgery and the patient's GIB remained stable for 1 year. A year later, the patient with a GIB measurement of 45 mmHG was applied to the supertemporal staff of the Ahmed glokom valve AGV implantation. In the postoperative 1 day, the GIB was measured by 13 mmHG. The patient's postoperative 3 month check was present with right-hand pain and double vision complaints. In the examination was observed that the right eye in the primary position was exotropy and pitoosis developed. There were also 8 restrictions in eye movements. In the right eye fundus picture there was insictoration. In the drawn orbital magnetic resonance imaging, a fibrosis injury was detected in the right eye superolateral, indicating the neighborhood of the lakrimal gland. In the first day of the patient’s examination with AGV explanation, the eye movements returned to normal and the inseclotortion improved. In this study, AGV expansion was identified in the treatment with a complication of AGV surgery and the development of diplopy.

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