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Pyogenic Granuloma Formation Following Ahmed Valve Glaucoma Implant

Chendran, Prema MD; Seng Fai, Tang MS (Ophthal); Wan Abdul Halim, Wan H. PhD; Md. Din, Norshamsiah PhD

doi: 10.1097/IJG.0000000000001334
Online Articles: Case Report/Small Case Series

Ocular pyogenic granuloma is a benign tumor seen after ocular insult secondary to ocular surgeries, trauma or infection. Although benign, intervention is sometimes necessary. Previous authors have reported pyogenic granuloma formation following oculoplastic surgeries. We report a pyogenic granuloma after an Ahmed glaucoma valve implantation. A 65-year-old gentleman presented with right eye redness associated with pain and swelling ~2 months after Ahmed glaucoma valve implantation. Examination found a sessile growth on the tube extruding puss with signs of endophthalmitis. The glaucoma drainage device was explanted and culture results grew Staphylococcus aureus. This article discusses the formation of pyogenic granuloma on a glaucoma drainage device and its management.

Department of Ophthalmology, University Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia

Disclosure: The authors declare no conflict of interest.

Reprints: Norshamsiah Md. Din, PhD, Department of Ophthalmology, University Kebangsaan Malaysia Medical Centre (UKMMC), Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia (e-mail:

Received June 29, 2019

Accepted July 15, 2019

Online date: July 30, 2019

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