Baerveldt tube shunt implantation through a long scleral tunnel
| Autor: | Momoko Yamakawa, Mami Kusaka, Yuki Kujime, Masayuki Akimoto |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty genetic structures Glaucoma Surgical Flaps Prosthesis Implantation Tonometry Ocular 03 medical and health sciences Postoperative Complications 0302 clinical medicine Refractory medicine Humans Tube (fluid conveyance) Glaucoma Drainage Implants Intraoperative Complications Baerveldt tube shunt Scleral tunnel Intraocular Pressure Aged Retrospective Studies Diabetic Retinopathy business.industry General Medicine Middle Aged medicine.disease eye diseases Surgery Glaucoma Neovascular Ophthalmology 030221 ophthalmology & optometry Female sense organs Implant business Sclera 030217 neurology & neurosurgery |
| Zdroj: | European Journal of Ophthalmology. 29:458-463 |
| ISSN: | 1724-6016 1120-6721 |
| Popis: | Purpose:To develop a new technique for the placement of a Baerveldt glaucoma implant tube through a long scleral tunnel.Materials and methods:Patients with refractory glaucoma undergoing the maximum tolerated medical therapy were recruited. We created a scleral tunnel with a 24-gauge catheter needle and used the external tube for guidance when introducing a Baerveldt glaucoma implant tube. Main outcome measures included intraocular pressure, supplemental medical therapy score, intraoperative complications, and postoperative complications.Results:Nine eyes of six patients were included in the study. The mean preoperative intraocular pressure (score) was 41.0 mmHg (4.78). Mean postoperative intraocular pressures were 18.3 mmHg (0.22), 18.8 mmHg (0.13), and 16.9 mmHg (0.50) at postoperative 1, 3, and 6 months, respectively. Minor vitreous hemorrhages were observed in three cases. Postoperative hypotony (Conclusion:We developed a new technique to place a Baerveldt glaucoma implant tube through a long scleral tunnel. The outcomes were comparable to other reports of Baerveldt glaucoma implant surgery, although the number of cases was limited in this study. A long scleral tunnel can substitute for a preserved scleral patch and self-scleral flap to avoid tube-related complications. |
| Databáze: | OpenAIRE |
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