Graft-free Ahmed tube insertion: a modified method at 5 mm from limbus

OBJECTIVE: To determine the medium-term outcome of Ahmed implants inserted through a needle tract at 5 mm from limbus that eliminates the need for a donor scleral graft. METHODS: A retrospective case series of 19 patients undergoing Ahmed implant surgery for refractory glaucoma with a mean follow-up...

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Detalles Bibliográficos
Autores principales: Mesa-Gutiérrez, Juan Carlos, Lillo-Sopena, Juan, Monés-Llivina, Anna, Sanz-Moreno, Silvia, Arruga-Ginebreda, Jorge
Formato: Texto
Lenguaje:English
Publicado: Dove Medical Press 2010
Materias:
Original Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2861944/
https://www.ncbi.nlm.nih.gov/pubmed/20463805
Descripción
Sumario:OBJECTIVE: To determine the medium-term outcome of Ahmed implants inserted through a needle tract at 5 mm from limbus that eliminates the need for a donor scleral graft. METHODS: A retrospective case series of 19 patients undergoing Ahmed implant surgery for refractory glaucoma with a mean follow-up of 12 months. Primary outcome measures included control of intraocular pressure after surgery. Secondary outcome measure included the frequency of intraoperative and postoperative complications. RESULTS: Intraocular pressure was maintained between 6 and 21 mmHg throughout the study. There was no postoperative hypotony. There were no complications related to this modified technique. CONCLUSION: Needle tract at 5 mm from limbus maintains implant’s ability to control intraocular pressure and eliminates the need for a donor scleral graft or heterologous material.

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