{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T12:56:45Z","timestamp":1781269005316,"version":"3.54.1"},"reference-count":9,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,5,30]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>Treatment of glaucoma is directed towards controlling intraocular pressure (IOP) and the options are many, starting from medical therapy to cyclodestructive surgeries. Drainage devices are a treatment option for glaucoma with a visual prognosis and have a major advantage of long-term success in controlling IOP and better tolerability. The Aurolab Aqueous Drainage Implant (AADI) is devised from a prototype Baerveldt implant. Numerous complications have been reported with the AADI; however, chronic inflammation so far is very rare. In our report, significant uveitis was noted in a patient with primary open-angle glaucoma post failed trabeculectomy after implantation of the AADI, resulting in the formation of annular synechiae and neovascularisation of the iris. There was poor compliance with medications and loss to follow-up owing to COVID-19 restrictions for more than a year. The patient was meticulously managed by intracameral anti-VEGF and synechiae release coupled with cataract extraction and intraocular lens implantation under the cover of steroids.<\/jats:p>\n                  <jats:p>Through this case, we want to emphasise the need for patient compliance towards postoperative medications and, to our knowledge, such dense inflammation following implantation of the AADI has not been reported.<\/jats:p>","DOI":"10.1136\/bcr-2025-266303","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T12:00:15Z","timestamp":1781265615000},"page":"e266303","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Chronic uveitis and complicated cataract following Aurolab Aqueous Drainage Implant"],"prefix":"10.1136","volume":"19","author":[{"given":"Mary","family":"Stephen","sequence":"first","affiliation":[{"name":"Ophthalmology, JIPMER, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subashini","family":"Kaliaperumal","sequence":"additional","affiliation":[{"name":"Jawaharlal Institute of Post Graduate Medical Education, Pondicherry, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6173-5073","authenticated-orcid":false,"given":"Shreyas","family":"Temkar","sequence":"additional","affiliation":[{"name":"Ophthalmology, JIPMER, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Sahi","sequence":"additional","affiliation":[{"name":"Ophthalmology, JIPMER, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"2026061205001101000_19.6.e266303.1","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/j.ogla.2019.03.009","article-title":"Intermediate-Term Outcomes of an Affordable Aqueous Drainage Implant in Adults with Refractory Glaucoma","volume":"2","author":"Puthuran","year":"2019","journal-title":"Ophthalmology Glaucoma"},{"key":"2026061205001101000_19.6.e266303.2","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1097\/IJG.0000000000000930","article-title":"Surgical Outcomes of a New Low-Cost Nonvalved Glaucoma Drainage Device in Refractory Glaucoma: Results at 1 Year","volume":"27","author":"Pathak Ray","year":"2018","journal-title":"J Glaucoma"},{"key":"2026061205001101000_19.6.e266303.3","doi-asserted-by":"crossref","first-page":"233","DOI":"10.4103\/ijo.IJO_675_18","article-title":"Intermediate-term outcome of Aurolab aqueous drainage implant","volume":"67","author":"Philip","year":"2019","journal-title":"Indian J Ophthalmol"},{"key":"2026061205001101000_19.6.e266303.4","doi-asserted-by":"crossref","first-page":"4212","DOI":"10.4103\/ijo.IJO_1391_22","article-title":"Safety and efficacy of Aurolab aqueous drainage implant in refractory glaucoma: A prospective study","volume":"70","author":"Jayasri","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"2026061205001101000_19.6.e266303.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2006.07.020"},{"key":"2026061205001101000_19.6.e266303.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2009.06.018"},{"key":"2026061205001101000_19.6.e266303.7","doi-asserted-by":"crossref","first-page":"1580","DOI":"10.4103\/ijo.IJO_427_18","article-title":"A prospective randomized controlled study of Aurolab aqueous drainage implant versus Ahmed glaucoma valve in refractory glaucoma: A pilot study","volume":"66","author":"Rathi","year":"2018","journal-title":"Indian J Ophthalmol"},{"key":"2026061205001101000_19.6.e266303.8","doi-asserted-by":"crossref","first-page":"538","DOI":"10.3341\/kjo.2017.0017","article-title":"Efficacy and Safety of Intracameral Bevacizumab for Treatment of Neovascular Glaucoma","volume":"31","author":"Ha","year":"2017","journal-title":"Korean J Ophthalmol"},{"key":"2026061205001101000_19.6.e266303.9","doi-asserted-by":"crossref","unstructured":"Kaur M , Pandav SS , Kaushik S . Novel Technique of Sulcus Placement of a Aurolab Aqueous Drainage Implant in a Phakic Patient. J Glaucoma 2019. doi:10.1097\/IJG.0000000000001353","DOI":"10.1097\/IJG.0000000000001353"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-266303","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T12:00:18Z","timestamp":1781265618000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-266303"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":9,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6,12]]},"published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1136\/bcr-2025-266303"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-266303","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]}}}