TY - JOUR T1 - Management of a recurrent encapsulated bleb with a cost-effective non-valved glaucoma drainage device JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2021-244553 VL - 15 IS - 3 SP - e244553 AU - George Varghese Puthuran AU - Hiruni Kaushalya Wijesinghe AU - Mayank Jain AU - Paul Palmberg Y1 - 2022/03/01 UR - http://casereports.bmj.com/content/15/3/e244553.abstract N2 - Despite the advancements in the surgical management of glaucoma, childhood glaucoma remains a challenging surgical disease worldwide. An early adolescent boy with primary congenital glaucoma, status after glaucoma drainage device (GDD) implantation, on maximum medical therapy, was presented with a swelling in the superotemporal orbital region. The patient had undergone an uneventful GDD implantation 2 years prior to presentation. A similar swelling, which was diagnosed to be a Tenon’s cyst, had been excised on three earlier occasions. Given that the repeat capsular excision would also have the same likelihood of failure, and poor intraocular pressure control, a non-valved, cost-effective Aurolab aqueous drainage implant (AADI, Aurolab, Madurai, India) implantation was done inferonasally. In this patient, AADI proved to be a safe and effective alternative for the known GDDs. ER -