PMC5015635_01
Tube erosion
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F1
Six weeks after the implant surgery, the right eye developed an erosion of conjunctiva overlying the tube with resorption of the scleral patch graft (Figure 1 (Fig. 1)).
Conjunctival closure
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F2
The erosion was initially managed with simple closure of conjunctiva with 10-0 nylon (Figure 2 (Fig. 2)).
Conjunctival inclusion cyst
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F3
Two and half months later, the child presented with an elevated lesion (inclusion cyst - Figure 3 (Fig. 3)) in the superotemporal quadrant over the area of scleral patch graft.
Endophthalmitis
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F4
However, he presented 3 months later following an episode of bilateral conjunctivitis with endophthalmitis (Figure 4 (Fig. 4)).
Tube excision
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F5
He underwent an emergency pars plana vitrectomy with intraocular antibiotics and tube excision (Figure 5 (Fig. 5)).
Final profile
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F6
The IOP control was achieved with transscleral cytophotocoagulation procedure and two antiglaucoma medications and was maintained at 20 mmHg until the 18th month follow up at the time of writing this manuscript (Figure 6 (Fig. 6)).