Intra Corneal Cleft Secondary to Ocular Massage after Ahmed Valve Surgery

To report a case of acute intra corneal cleft in a patient undergoing ocular massage following Ahmed valve implantation. Case Report: Acute intra corneal cleft occurred in a patient following the use of ocular massage to reduce IOP and bleb formation after Ahmed glaucoma valve insertion. Previous history of the patient was Fuchs heterochromic iridocyclitis without any report of trauma to his eye or any other ophthalmic disorders. The slit lamp examination revealed huge localized corneal bulla formation with a diameter of 3 mm in the superior mid peripheral corneal region in the right eye just after ocular massage, which persisted in the 6 months of follow up.

Digital ocular massage might cause the occurrence of intra corneal cleft. Although this might be a very rare complication, we should consider it as an adverse effect of ocular massage.