A new surgical technique of intra-scleral tube fixation in Ahmed Glaucoma Valve implantation: ‘Scleral Sleeve Method’

PURPOSE: To present a new surgical technique ‘Scleral Sleeve Method’ which would reduce the risk of Ahmed Glaucoma Valve (AGV) tube related complications in patients undergoing AGV FP7 (New World Medical Inc., Rancho Cucamonga, CA) for refractory glaucoma. DESIGN: Prospective, Non-Randomized, hospit...

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Detalles Bibliográficos
Autores principales: Kalamkar, Charudutt, Radke, Nishant, Mukherjee, Amrita, Radke, Snehal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5717499/
https://www.ncbi.nlm.nih.gov/pubmed/29234225
http://dx.doi.org/10.1016/j.sjopt.2017.04.002
Descripción
Sumario:PURPOSE: To present a new surgical technique ‘Scleral Sleeve Method’ which would reduce the risk of Ahmed Glaucoma Valve (AGV) tube related complications in patients undergoing AGV FP7 (New World Medical Inc., Rancho Cucamonga, CA) for refractory glaucoma. DESIGN: Prospective, Non-Randomized, hospital based interventional case series. SUBJECTS: A total of 16 eyes of adult patients (10 males and 6 females) with refractory glaucoma. METHODS: Instead of using sutures to fix the AGV tube to sclera, we devised a novel method of intra-scleral tube fixation by creating a scleral tunnel fashioned in form of sleeve. MAIN OUTCOME MEASURE: Post-operative tube related complications. RESULT: There were no tube related complications such as exposure, extrusion or retraction in any of the cases. CONCLUSION: Use of scleral sleeve method for tube fixation, along with graft to cover the tube, will provide additional safety measure and reduce the risks of tube related complications.

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