Chief & Presenting Author: Dr. Nitesh Kumar

Co Author(s): Prof. Dr.Sushil Ojha, Dr.Neeraj Saraswat

Abstract

Uveitis, affecting approximately 5-6% severely and 29-36% moderately as steroid responders, presented initially with steroid-responsive uveitis. However, subsequent secondary glaucoma developed which required trabeculectomy and Ahmed glaucoma valve (AGV) implantation for intraocular pressure control. Post-AGV surgery patient had well controlled IOP but, the patient experienced multiple uveitis attacks due to steroid use and recurrent inflammation which lead to cataract development.Before starting cataract surgery different challenges like scar due to post-trabeculectomy and AGV implantation, along with preserving the AGV during cataract surgery. Postoperatively, careful steroid administration or steroid-sparing agents are crucial to prevent recurrence of secondary glaucoma while ensuring optimal wound healing and minimal astigmatism in patient post operative.