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Our experience of fibrin sealant-assisted implantation of Ahmed glaucoma valve

AIM: To report our experience with the fibrin sealant as a suture substitute for securing the human scleral patch graft during implantation of Ahmed glaucoma valve (AGV). MATERIALS AND METHODS: A retrospective, non-comparative study of 12 eyes of 12 patients who underwent an AGV implantation with fi...

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Detalles Bibliográficos
Autores principales: Choudhari, Nikhil S, Neog, Aditya, Sharma, Anuj, Iyer, Geetha K, Srinivasan, Bhaskar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3554990/
https://www.ncbi.nlm.nih.gov/pubmed/23275217
http://dx.doi.org/10.4103/0301-4738.99976
Descripción
Sumario:AIM: To report our experience with the fibrin sealant as a suture substitute for securing the human scleral patch graft during implantation of Ahmed glaucoma valve (AGV). MATERIALS AND METHODS: A retrospective, non-comparative study of 12 eyes of 12 patients who underwent an AGV implantation with fibrin sealant for part of the procedure during June 2009 to September 2010. RESULTS: The mean patient age was 21.5 ± 20.6 years. Male: Female ratio was 2 : 1. Seven (58.3%) patients were monocular. The indications for AGV were varied. The mean number of intra-ocular surgeries prior to an implantation of AGV was 1.8. The mean follow-up duration was 24.5 ± 17.9 weeks. There was a statistically significant reduction in the mean IOP and in the mean number of anti-glaucoma medications at the final visit compared to the pre-operative values (P < 0.01, paired t test). Conjunctival retraction was seen in 1 (8.3%) case. The scleral patch graft was retracted posteriorly in another (8.3%) case. There was no case of AGV tube exposure, tube-cornea touch, or conjunctival erosion. Vision threatening complication viz. late post-operative rhegmatogenous retinal detachment, unlikely to be related to the use of the fibrin sealant, occurred in 2 (16.6%) eyes. CONCLUSION: The fibrin sealant offers the advantages of safety and convenience to the placement of a scleral patch graft during an AGV implantation.