An aphakic child with glaucoma associated with infantile cataract surgery and a previously functioning nonvalved glaucoma drainage device presented with sudden-onset pain and increased eye pressure. Meticulous vitrectomy was performed at the time of tube shunt surgery. Examination under anesthesia revealed obstruction of the tube with capsular remnants (Figure), which likely loosened and became mobile at the time of tube opening. The child underwent a repeated vitrectomy with removal of capsular remnants from the tube. On the first day after surgery, the intraocular pressure normalized.
Chang TC, Fallas B, Cavuoto KM. Incarceration of Lens Capsular Material in a Tube Shunt in an Aphakic, Vitrectomized Infant Eye. JAMA Ophthalmol. 2016;134(9):e161309. doi:10.1001/jamaophthalmol.2016.1309