Three techniques for guidewire-assisted sulcus glaucoma tube shunt placement.
| Autor: | Shah A; Department of Ophthalmology and Visual Science, University of Chicago, 5758 S. Maryland Ave, Suite 1B, Chicago, IL, 60637, USA., Kanter JA; Wilmer Eye Institute, Johns Hopkins University, 1800 Orleans St, Baltimore, MD, 21287, USA., Eisengart J; Cole Eye Institute, Cleveland Clinic Foundation, 2022 E 105th St. Suite I, Cleveland, OH, USA., Blieden LS; Department of Ophthalmology, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA., Qiu M; Department of Ophthalmology and Visual Science, University of Chicago, 5758 S. Maryland Ave, Suite 1B, Chicago, IL, 60637, USA. |
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| Jazyk: | angličtina |
| Zdroj: | American journal of ophthalmology case reports [Am J Ophthalmol Case Rep] 2024 Feb 28; Vol. 34, pp. 102009. Date of Electronic Publication: 2024 Feb 28 (Print Publication: 2024). |
| DOI: | 10.1016/j.ajoc.2024.102009 |
| Abstrakt: | Purpose: Tube shunts can be inserted into the anterior chamber, ciliary sulcus, or pars plana. Sulcus tube placement can be challenging. This report demonstrates three techniques for guidewire-assisted sulcus tube insertion. Observations: The first technique uses a needle inserted through a paracentesis 180-degrees across from the tube entry site and creates an ab-interno sclerotomy through which the guidewire is inserted by docking it into the needle bevel. The second technique involves inserting the guidewire into the eye via a paracentesis and using microforceps to retrieve it through a sclerotomy. The third technique uses forceps to insert the guidewire into a paracentesis 180° across from the planned tube entry site and dock it into a needle bevel that has been inserted into the sulcus. Each of these techniques provides a reliable and reproducible way to insert a tube into the sulcus. Conclusions and Importance: Guidewire-assisted tube entry offers a promising solution in cases of difficult sulcus tube placement without substantial additional cost. Competing Interests: The authors have no conflict of interest. (© 2024 Published by Elsevier Inc.) |
| Databáze: | MEDLINE |
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