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Outcomes of reimplantation of a new Glaucoma Drainage Device after explantation of an older implant from exposure-related complications

PURPOSE: To describe the clinical outcome of a series of seven eyes with an explanation of an original Glaucoma Drainage Device (GDD) arising from the complication of plate exposure and consequent reimplantation of another GDD at a second setting. METHODS: This was a retrospective, interventional, a...

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Autores principales: Yaswanth, Tiruveedhi S, Roy, Avik K, Senthil, Sirisha D, Krishnamurthy, Rashmi S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683691/
https://www.ncbi.nlm.nih.gov/pubmed/37787234
http://dx.doi.org/10.4103/IJO.IJO_3105_22
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author Yaswanth, Tiruveedhi S
Roy, Avik K
Senthil, Sirisha D
Krishnamurthy, Rashmi S
author_facet Yaswanth, Tiruveedhi S
Roy, Avik K
Senthil, Sirisha D
Krishnamurthy, Rashmi S
author_sort Yaswanth, Tiruveedhi S
collection PubMed
description PURPOSE: To describe the clinical outcome of a series of seven eyes with an explanation of an original Glaucoma Drainage Device (GDD) arising from the complication of plate exposure and consequent reimplantation of another GDD at a second setting. METHODS: This was a retrospective, interventional, and non-comparative study at two tertiary eye care hospitals in eastern and southern India. Electronic medical record data of the seven eyes where a GDD was explanted and a 2(nd) GDD was reimplanted over October 2010 and May 2021 was analyzed. Statistical analysis was done by SPSS (ver. 26). RESULTS: The first GDD survived for a mean of 168 days only till the plate got exposed and thereby got explanted. Possible predisposing factors noted were conjunctival and scleral thinning, ischemic conjunctiva, etc., The reimplantation surgery was technically easy in the absence of hypotony—opposite to what is reported in the literature. The final IOP (mean +/− SD) values (mm Hg) were 18.9 (+/−7.9), range = 10–30. The mean number of glaucoma medications reduced from 3.9 (+/−1.2; range, 2 to 5) after the explanation to 3.1 (+/−0.7; range, 2 to 4) after the 2(nd) GDD implantation, in the final follow-up. The second GDD was found to be stable till the last follow-up (mean = 1149 days). No other significant intraoperative or postoperative complications were seen. CONCLUSIONS: Reimplantation of a second GDD in a separate setting after explanations of an original implant due to exposure-related complication is both a safe and effective method.
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spelling pubmed-106836912023-11-30 Outcomes of reimplantation of a new Glaucoma Drainage Device after explantation of an older implant from exposure-related complications Yaswanth, Tiruveedhi S Roy, Avik K Senthil, Sirisha D Krishnamurthy, Rashmi S Indian J Ophthalmol Original Article PURPOSE: To describe the clinical outcome of a series of seven eyes with an explanation of an original Glaucoma Drainage Device (GDD) arising from the complication of plate exposure and consequent reimplantation of another GDD at a second setting. METHODS: This was a retrospective, interventional, and non-comparative study at two tertiary eye care hospitals in eastern and southern India. Electronic medical record data of the seven eyes where a GDD was explanted and a 2(nd) GDD was reimplanted over October 2010 and May 2021 was analyzed. Statistical analysis was done by SPSS (ver. 26). RESULTS: The first GDD survived for a mean of 168 days only till the plate got exposed and thereby got explanted. Possible predisposing factors noted were conjunctival and scleral thinning, ischemic conjunctiva, etc., The reimplantation surgery was technically easy in the absence of hypotony—opposite to what is reported in the literature. The final IOP (mean +/− SD) values (mm Hg) were 18.9 (+/−7.9), range = 10–30. The mean number of glaucoma medications reduced from 3.9 (+/−1.2; range, 2 to 5) after the explanation to 3.1 (+/−0.7; range, 2 to 4) after the 2(nd) GDD implantation, in the final follow-up. The second GDD was found to be stable till the last follow-up (mean = 1149 days). No other significant intraoperative or postoperative complications were seen. CONCLUSIONS: Reimplantation of a second GDD in a separate setting after explanations of an original implant due to exposure-related complication is both a safe and effective method. Wolters Kluwer - Medknow 2023-10 2023-09-29 /pmc/articles/PMC10683691/ /pubmed/37787234 http://dx.doi.org/10.4103/IJO.IJO_3105_22 Text en Copyright: © 2023 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Yaswanth, Tiruveedhi S
Roy, Avik K
Senthil, Sirisha D
Krishnamurthy, Rashmi S
Outcomes of reimplantation of a new Glaucoma Drainage Device after explantation of an older implant from exposure-related complications
title Outcomes of reimplantation of a new Glaucoma Drainage Device after explantation of an older implant from exposure-related complications
title_full Outcomes of reimplantation of a new Glaucoma Drainage Device after explantation of an older implant from exposure-related complications
title_fullStr Outcomes of reimplantation of a new Glaucoma Drainage Device after explantation of an older implant from exposure-related complications
title_full_unstemmed Outcomes of reimplantation of a new Glaucoma Drainage Device after explantation of an older implant from exposure-related complications
title_short Outcomes of reimplantation of a new Glaucoma Drainage Device after explantation of an older implant from exposure-related complications
title_sort outcomes of reimplantation of a new glaucoma drainage device after explantation of an older implant from exposure-related complications
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683691/
https://www.ncbi.nlm.nih.gov/pubmed/37787234
http://dx.doi.org/10.4103/IJO.IJO_3105_22
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