Management of refractory glaucoma in Cogan–Reese variant of ICE syndrome with secondary tube implantation

Abstract

Glaucoma secondary to iridocorneal endothelial syndrome is refractory to medical treatment, and its management is always challenging. We report the clinical course and management of refractory glaucoma in a 47-year-old male diagnosed with Cogan–Reese syndrome with an 11-year follow-up result. He initially underwent trabeculectomy, which eventually failed after 7 years; hence, an Aurolab aqueous drainage implant (AADI) was placed superotemporally. On subsequent follow-up, as the AADI tube got retracted, secondary AADI implantation was placed in the superonasal quadrant. Later, his vision dropped due to cataract and underwent phacoemulsification with intraocular lens implantation along with tube trimming.