Delhi Journal of Ophthalmology

Ologen in Axenfield-Rieger Anomaly with secondary Glaucoma: A case report with review of literature

Vaibhav Kumar Jain, Divya Kesarwani, Kumudini Sharma, Vikas Kanaujia, Rachna Agarwal
Department of Ophthalmology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Vaibhav Kumar Jain MD
Department of Ophthalmology
Sanjay Gandhi Post Graduate Institute
of Medical Sciences, Raebareli Road,
Lucknow-226014, Uttar Pradesh, India
Email id: vaibhav.jainaiims@gmail.com


Received: 22-MAY-2019 Accepted: 09-JUL-2019 Published Online: 26-DEC-2019
DOI: https://dx.doi.org/10.7869/djo.482

Abstract
We report a case of Axenfield-Rieger anomaly with secondary glaucoma which was managed with trabeculectomy with adjunctive mitomycin-C and Ologen implant. A 27-year old female who was a known case of glaucoma and was on anti-glaucoma medications for last 24 years, presented with heaviness over left eye. A diagnosis of bilateral Axenfield-Rieger anomaly with secondary angle closure glaucoma was made with right eye controlled on topical anti-glaucoma medications and left eye uncontrolled (30 mm Hg) with anti-glaucoma medications. Patient underwent the above-mentioned surgery in her left eye. The IOP was controlled and bleb was well formed at one year of follow-up. This case report highlights the management of Axenfield-Rieger anomaly with secondary glaucoma with the use of Ologen implant.

Keywords :Axenfield-Rieger anomaly, Secondary glaucoma, Ologen, Trabeculectomy, Mitomycin-C