Abstract：
UNASSIGNED: Aqueous misdirection syndrome (AMS) is an aggressive post-operative glaucoma unresponsive to conventional measures with grave outcomes. In this report, we describe a rare case of AMS following silicon oil removal in a vitrectomized eye.
METHODS: A diabetic patient with tractional retinal detachment underwent pars plana vitrectomy with silicon oil injection. Following retinal reattachment, silicon oil removal was performed at three months. Post oil removal she developed increased intraocular pressure with shallowing of both the peripheral and central anterior chamber suggestive of AMS.
RESULTS: Initial medical management with anti-glaucoma medications and cycloplegics was not beneficial. A pars plana lensectomy with complete anterior hyaloidectomy along with a surgical peripheral iridectomy helped relieve the aqueous misdirection.
CONCLUSIONS: AMS can rarely occur following vitrectomy and is likely secondary to intact anterior hyaloid. Lensectomy along with zonulo-hyaloido-iridectomy is essential. This report highlights the occurrence of this rare complication and its effective management.
METHODS: A diabetic patient with tractional retinal detachment underwent pars plana vitrectomy with silicon oil injection. Following retinal reattachment, silicon oil removal was performed at three months. Post oil removal she developed increased intraocular pressure with shallowing of both the peripheral and central anterior chamber suggestive of AMS.
RESULTS: Initial medical management with anti-glaucoma medications and cycloplegics was not beneficial. A pars plana lensectomy with complete anterior hyaloidectomy along with a surgical peripheral iridectomy helped relieve the aqueous misdirection.
CONCLUSIONS: AMS can rarely occur following vitrectomy and is likely secondary to intact anterior hyaloid. Lensectomy along with zonulo-hyaloido-iridectomy is essential. This report highlights the occurrence of this rare complication and its effective management.
摘要：
■水误导综合征（AMS）是一种侵袭性的术后青光眼，对常规措施无反应，结果严重。在这份报告中,我们描述了在玻璃体切除的眼中去除硅油后AMS的罕见病例。
方法：1例牵引性视网膜脱离的糖尿病患者，在注射硅油的情况下接受了平坦部玻璃体切除术。视网膜复位后,在三个月时进行硅油去除。清除油后，她的眼内压升高，周围和中央前房均变浅，提示AMS。
结果：使用抗青光眼药物和睫状肌麻痹的初始医疗管理是没有好处的。平坦部晶状体切除术和完整的前透明切除术以及外科周边虹膜切除术有助于缓解房水误导。
结论：AMS很少在玻璃体切除术后发生，并且可能继发于完整的前泪液。肾切除术以及带-透明-虹膜切除术是必不可少的。本报告重点介绍了这种罕见并发症的发生及其有效管理。
方法：1例牵引性视网膜脱离的糖尿病患者，在注射硅油的情况下接受了平坦部玻璃体切除术。视网膜复位后,在三个月时进行硅油去除。清除油后，她的眼内压升高，周围和中央前房均变浅，提示AMS。
结果：使用抗青光眼药物和睫状肌麻痹的初始医疗管理是没有好处的。平坦部晶状体切除术和完整的前透明切除术以及外科周边虹膜切除术有助于缓解房水误导。
结论：AMS很少在玻璃体切除术后发生，并且可能继发于完整的前泪液。肾切除术以及带-透明-虹膜切除术是必不可少的。本报告重点介绍了这种罕见并发症的发生及其有效管理。
