AAO 2018 Video Program
    Glaucoma, Medical Therapy, Surgical Management

    This video describes the surgical management of a complicated Axenfeld-Rieger syndrome (ARS) case. A 52-year-old patient with ARS had an anterior chamber IOL (AC-IOL) and intractable glaucoma. We employed IOL exchange with retropupillary iris claw IOL, anterior vitrectomy, and Ahmed glaucoma valve. Visual acuity improved from 20/100 to 20/25 UDVA and 20/20 CDVA. IOP was reduced to 17 mm Hg. Cornea edema resolved and endothelial cell density was more than 1500 cells/mm2 at 2 years' follow-up.