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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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
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author Kalamkar, Charudutt
Radke, Nishant
Mukherjee, Amrita
Radke, Snehal
author_facet Kalamkar, Charudutt
Radke, Nishant
Mukherjee, Amrita
Radke, Snehal
author_sort Kalamkar, Charudutt
collection PubMed
description 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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spelling pubmed-57174992017-12-11 A new surgical technique of intra-scleral tube fixation in Ahmed Glaucoma Valve implantation: ‘Scleral Sleeve Method’ Kalamkar, Charudutt Radke, Nishant Mukherjee, Amrita Radke, Snehal Saudi J Ophthalmol Original Article 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. Elsevier 2017 2017-04-09 /pmc/articles/PMC5717499/ /pubmed/29234225 http://dx.doi.org/10.1016/j.sjopt.2017.04.002 Text en © 2017 King Saud University http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Kalamkar, Charudutt
Radke, Nishant
Mukherjee, Amrita
Radke, Snehal
A new surgical technique of intra-scleral tube fixation in Ahmed Glaucoma Valve implantation: ‘Scleral Sleeve Method’
title A new surgical technique of intra-scleral tube fixation in Ahmed Glaucoma Valve implantation: ‘Scleral Sleeve Method’
title_full A new surgical technique of intra-scleral tube fixation in Ahmed Glaucoma Valve implantation: ‘Scleral Sleeve Method’
title_fullStr A new surgical technique of intra-scleral tube fixation in Ahmed Glaucoma Valve implantation: ‘Scleral Sleeve Method’
title_full_unstemmed A new surgical technique of intra-scleral tube fixation in Ahmed Glaucoma Valve implantation: ‘Scleral Sleeve Method’
title_short A new surgical technique of intra-scleral tube fixation in Ahmed Glaucoma Valve implantation: ‘Scleral Sleeve Method’
title_sort new surgical technique of intra-scleral tube fixation in ahmed glaucoma valve implantation: ‘scleral sleeve method’
topic Original Article
url 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
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