Outcomes and lessons learned from two decades’ experience with glaucoma drainage device implantation for refractory Sturge Weber–associated childhood glaucoma

2021 ◽  
Author(s):  
Tanya S. Glaser ◽  
Landon C. Meekins ◽  
Sharon F. Freedman
Keyword(s):  
Lessons Learned ◽  
Glaucoma Drainage Device ◽  
Drainage Device ◽  
Device Implantation

Outcomes of Glaucoma Drainage Device Implantation and Trabeculectomy with Mitomycin C in Glaucoma Secondary to Aniridia

2021 ◽  
Author(s):  
Indira Durai ◽  
Srilekha Pallamparthy ◽  
George Varghese Puthuran ◽  
Hiruni Kaushalya Wijesinghe ◽  
Mohammed Sithiq Uduman ◽  
...  
Keyword(s):  
Mitomycin C ◽  
Glaucoma Drainage Device ◽  
Drainage Device ◽  
Device Implantation

Treatment Outcomes Following Resident Performed Nonvalved (Baerveldt 350) Glaucoma Drainage Device Implantation

2019 ◽  
Vol 28 (11) ◽  
pp. 958-964
Author(s):  
Adam L. Rothman ◽  
Jullia A. Rosdahl ◽  
Thomas G. Hunter ◽  
Pratap Challa ◽  
Kelly W. Muir
Keyword(s):  
Treatment Outcomes ◽  
Glaucoma Drainage Device ◽  
Drainage Device ◽  
Device Implantation

Ocular motility disturbances after glaucoma drainage device implantation for paediatric glaucoma: a cross-sectional study

2020 ◽  
pp. bjophthalmol-2020-317356
Author(s):  
Kate Elspeth Leahy ◽  
Katelyn MacNeill ◽  
Jeff Locke ◽  
Stephanie Sobey ◽  
Stephen P Kraft ◽  
...  
Keyword(s):  
Mass Effect ◽  
Paediatric Population ◽  
Cross Sectional Study ◽  
Glaucoma Drainage Device ◽  
Ocular Motility ◽  
Sectional Study ◽  
Cross Sectional ◽  
Drainage Device ◽  
Device Implantation ◽  
Mean Time

AimTo grade extraocular motility in the field of action of each extraocular muscle following superotemporal glaucoma drainage device (GDD) implantation in a paediatric population and to investigate which drainage device (Ahmed vs Baerveldt) yields less extraocular motility disturbance.MethodsCross-sectional study of children with a GDD implanted consecutively by a single surgeon who underwent ocular motility examination by two masked orthoptists. Ductions in the cardinal positions were graded. Ocular alignment, visual acuity, binocularity, stereopsis and intraocular pressure were also measured, and patient charts were reviewed.ResultsThirty children each had one eye included. Twenty-one eyes had an Ahmed GDD and 9 had a Baerveldt GDD. Mean time between GDD insertion and ocular motility exam was 68 months in the Ahmed group and 19 months in the Baerveldt group. Exotropia was present in 46% and vertical heterotropia in 46% of children post-GDD insertion. Thirty-three percent of eyes had a moderate or severe limitation of elevation in abduction, 30% of elevation in adduction, 10% of abduction and 10% of adduction. There was a trend towards more eyes in the Ahmed group (62%) having at least a moderate limitation in ocular motility (−2 or worse; scale −1 to −4) compared with the Baerveldt group (22%).ConclusionStrabismus is common in children with GDDs. Our motility and alignment findings are consistent with either a mass effect of the device and bleb and/or scarring beneath the plate in the quadrant of the GDD causing dysmotility, most commonly limitation towards the GDD.

Hyaluronidase injection for improved tissue dissection in Baerveldt tube surgery

2017 ◽  
Vol 28 (3) ◽  
pp. 339-340
Author(s):  
Alon Zahavi ◽  
John R. Grigg
Keyword(s):  
Postoperative Complications ◽  
Glaucoma Drainage Device ◽  
Ocular Surgery ◽  
Novel Technique ◽  
Drainage Device ◽  
Early Stages ◽  
Device Implantation ◽  
Tissue Dissection ◽  
Tissue Trauma ◽  
Baerveldt Tube

Purpose: To describe a novel technique for tissue dissection during Baerveldt tube surgery. Methods: We present a technique for posterior dissection of conjunctiva and Tenon tissue for the placement of a glaucoma drainage device. Hyaluronidase is used in the early stages of surgery in order to minimize tissue trauma and facilitate easy dissection even through existing adhesions and conjunctival scarring. Results: The technique facilitates convenient dissection through tissues. We did not experience any intraoperative or postoperative complications. Conclusions: The described technique has substantial advantages for Baerveldt tube surgery, specifically in cases of previous ocular surgery and subsequent conjunctival scarring. It is safe and easy to perform, and should be considered in cases of glaucoma drainage device implantation surgeries.

scholarly journals A Novel Technique for Recurrent Tube Exposure Repair

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
J. Minjy Kang ◽  
Yen Cheng Hsia ◽  
Ying Han
Keyword(s):  
Case Report ◽  
Pars Plana Vitrectomy ◽  
Glaucoma Drainage Device ◽  
Effective Technique ◽  
Novel Technique ◽  
Drainage Device ◽  
Device Implantation ◽  
Pars Plana ◽  
Successful Technique

Purpose. Tube exposure can lead to vision-threatening consequences and requires prompt surgical attention. Posterior repositioning of the tube to the pars plana has previously been reported as a successful technique. However, this method requires a pars plana vitrectomy (PPV). Here, we describe a novel technique of repositioning the tube into the ciliary sulcus without requiring PPV. Methods. This is a retrospective interventional case report of two patients who had undergone prior glaucoma drainage device implantation and prior tube exposure repair and developed recurrent tube exposure. Tube exposure in the subjects was repaired by repositioning the tube in the ciliary sulcus. Results. The two eyes remained exposure free postoperatively with 51- and 60-month follow-ups. Conclusions. Repositioning the tube to the ciliary sulcus may be an effective technique to avoid reexposure.

Hypotonous malignant glaucoma following glaucoma drainage device implantation

2021 ◽  
Vol 1 (3) ◽  
pp. 512
Author(s):  
Parul Ichhpujani ◽  
Suresh Kumar ◽  
Ekta Singla ◽  
Obaidur Rehman
Keyword(s):  
Glaucoma Drainage Device ◽  
Drainage Device ◽  
Device Implantation ◽  
Malignant Glaucoma
Sign in / Sign up

Export Citation Format

Share Document