Heterologous, Human Donor Sclera as the Patch Graft in Glaucoma Drainage Device Surgery

2017 ◽  
Vol 26 (3) ◽  
pp. e128-e129 ◽  
Author(s):  
Suneeta Dubey ◽  
Ketaki Rajurkar ◽  
Neha Kapur ◽  
Manisha Acharya
Keyword(s):  
Glaucoma Drainage Device ◽  
Human Donor ◽  
Drainage Device ◽  
Patch Graft

Heterologous, Fresh, Human Donor Sclera as Patch Graft Material in Glaucoma Drainage Device Surgery

2016 ◽  
Vol 25 (7) ◽  
pp. 558-564 ◽  
Author(s):  
Dimitrios Tsoukanas ◽  
Paraskevi Xanthopoulou ◽  
Alexandros C. Charonis ◽  
Panagiotis Theodossiadis ◽  
Gerasimos Kopsinis ◽  
...  
Keyword(s):  
Glaucoma Drainage Device ◽  
Graft Material ◽  
Human Donor ◽  
Drainage Device ◽  
Patch Graft

Comparison of Single Thickness and Double Thickness Processed Pericardium Patch Graft in Glaucoma Drainage Device Surgery

2008 ◽  
Vol 17 (1) ◽  
pp. 48-51 ◽  
Author(s):  
Dara Lankaranian ◽  
Ricardo Reis ◽  
Jeffrey D. Henderer ◽  
Sung Choe ◽  
Marlene R. Moster
Keyword(s):  
Glaucoma Drainage Device ◽  
Drainage Device ◽  
Patch Graft

scholarly journals Baerveldt Scleral Patch Graft Abscess Secondary to Coagulase-Negative Staphylococcus

2017 ◽  
Vol 8 (3) ◽  
pp. 521-526
Author(s):  
Van Nguyen ◽  
Mason Schmutz ◽  
Sarah Farukhi ◽  
Sameh Mosaed
Keyword(s):  
Open Angle Glaucoma ◽  
Staphylococcal Infection ◽  
Glaucoma Drainage Device ◽  
Coagulase Negative Staphylococcus ◽  
Drainage Device ◽  
Implant Placement ◽  
First Case ◽  
Severe Stage ◽  
Device Placement ◽  
Patch Graft

We report the case of a 69-year-old female who underwent a Baerveldt implant placement for severe-stage primary open-angle glaucoma and developed a bacterial infection of the conjunctiva and abscess of the scleral patch graft with subsequent tube exposure. The infection was identified 3 weeks postoperatively and a topical antibiotic was immediately initiated. A concurrent systemic staphylococcal infection was discovered by an outside physician and oral cephalexin was initiated. Despite antibiotic treatment, the conjunctival erosion progressed, and tube revision was required. Culture of the abscess revealed coagulase-negative Staphylococcus. As alluded to above, the patient also had multiple abscesses on the skin that cultured positive for Staphylococcus aureus. To our knowledge, this is the first case in the literature of coagulase-negative Staphylococcus causing an early postoperative abscess of the scleral patch graft following glaucoma drainage device placement.

Long-Term Persistence of Fascia Lata Patch Graft in Glaucoma Drainage Device Surgery

2005 ◽  
Vol 15 (3) ◽  
pp. 412-414 ◽  
Author(s):  
E. GutiéRrez-Díaz ◽  
M. Montero-Rodríguez ◽  
E. Mencía-Gutiérrez ◽  
A. Cabello ◽  
J. Monescillo
Keyword(s):  
Fascia Lata ◽  
Glaucoma Drainage Device ◽  
Drainage Device ◽  
Patch Graft

scholarly journals Partial thickness corneal tissue as a patch graft material for prevention of glaucoma drainage device exposure

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Oriel Spierer ◽  
Michael Waisbourd ◽  
Yitzhak Golan ◽  
Hadas Newman ◽  
Rony Rachmiel
Keyword(s):  
Glaucoma Drainage Device ◽  
Corneal Tissue ◽  
Graft Material ◽  
Drainage Device ◽  
Partial Thickness ◽  
Patch Graft

scholarly journals Corynebacterium ocular infection after Baerveldt glaucoma implant surgery: treatment involving immediate tube withdrawal and temporary subconjunctival tube placement: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Naruka Mitsui ◽  
Kae Sugihara ◽  
Jiro Seguchi ◽  
Etsuo Chihara ◽  
Yuki Morizane ◽  
...  
Keyword(s):  
Anterior Chamber ◽  
Vitreous Body ◽  
Tube Placement ◽  
Glaucoma Drainage Device ◽  
Ocular Infection ◽  
Implant Surgery ◽  
Drainage Device ◽  
Old Japanese ◽  
Patch Graft ◽  
Baerveldt Glaucoma Implant

Abstract Background We report a case of Corynebacterium endophthalmitis secondary to tube exposure following Baerveldt glaucoma implant surgery that was successfully treated with prompt tube withdrawal and temporary subconjunctival tube placement without removing the glaucoma drainage device. Case presentation A 65-year-old Japanese man with secondary glaucoma underwent glaucoma drainage device surgery with a donor scleral patch graft in the inferonasal quadrant of his right eye. Ten months after surgery, he presented with tube exposure due to dehiscence of the overlying conjunctiva and erosion of the scleral patch graft. Eleven days later, mild inflammation was found in the anterior chamber and anterior vitreous body, with the root of the tube surrounded by a plaque at the site of insertion in the anterior chamber. He was diagnosed with infectious endophthalmitis secondary to tube exposure. Two days later, since medical therapy was ineffective, the tube was withdrawn from the anterior chamber and irrigated with a polyvinyl alcohol-iodine solution, and the tube was tucked into the subconjunctival space. Complete resolution of the infection was achieved 1.5 months later. The tube was reinserted nasally into the anterior chamber and covered with a scleral patch graft and a free limbal conjunctival autograft. Thereafter, there has been no recurrence of infection or tube exposure. Twenty eight months after tube reinsertion, his right best-corrected visual acuity was 20/50 and intraocular pressure was 12 mmHg. Conclusion Prompt tube withdrawal and temporary subconjunctival tube placement followed by tube reinsertion may be effective for endophthalmitis associated with tube exposure after glaucoma drainage device surgery.

scholarly journals Electron Beam Irradiated Corneal Versus Gamma-Irradiated Scleral Patch Graft Erosion Rates in Glaucoma Drainage Device Surgery

2019 ◽  
Vol 8 (3) ◽  
pp. 421-426
Author(s):  
Ross M. Passo ◽  
Zachary B. Hoskins ◽  
Khoa D. Tran ◽  
Corrina Patzer ◽  
Beth Edmunds ◽  
...  
Keyword(s):  
Electron Beam ◽  
Glaucoma Drainage Device ◽  
Erosion Rates ◽  
Drainage Device ◽  
Patch Graft ◽  
Gamma Irradiated

scholarly journals Assessing patient cosmetic satisfaction after glaucoma drainage device surgery for different patch grafts

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Doaa S. Milibari ◽  
Dalal Fatani ◽  
Abeer Ahmad ◽  
Ohoud Owaidhah ◽  
Saleh A. AlObeidan ◽  
...  
Keyword(s):  
Glaucoma Drainage Device ◽  
Patient Questionnaire ◽  
Palpebral Fissure ◽  
Drainage Device ◽  
Younger Age ◽  
Different Types ◽  
Patch Graft ◽  
The Mean ◽  
Gender Type

Abstract Background The use of a tissue patch graft is common practice with a glaucoma drainage device (GDD). Patch grafts can be visible in the palpebral fissure and may be cosmetically displeasing for some patients. The aim of this study was to report the cosmetic satisfaction of pericardial, scleral, and corneal patch grafts related to superior GDD surgery. Methods Baseline clinical data were collected for consecutive patients with glaucoma operated between 2014 and 2019 at two tertiary eye care institutions (for superiorly-placed) Ahmad glaucoma valve implant using sclera, cornea and pericardium patch graft. A patient questionnaire that contained 4 concise questions, with a Likert-scale grading relating to cosmetic satisfaction was administered by a telephone-based interview. Responses and scores for each question were compared across patients who received the three different types of graft. A binominal logistic regression analysis was used to assess the effects of age, gender, type of graft, number of previous ocular surgeries, and final visual acuity to explain differences. Results We included 92 patients who met our inclusion criteria (24 patients received a corneal patch graft, 30 who received sclera and 38 who received pericardium). The mean (±SD) age was 50 (±17.5) years, and the average follow up was 20.7 (± 18.6) months. Regardless of the type of patch graft, most (67–84%) of patients were satisfied with the appearance of their eyes. Patients who received cornea or sclera were more likely to report that their eye looked ‘abnormal’ by others. Younger age was significantly associated with the response to this question. Conclusion Patients are generally satisfied with the appearance of their eye following GDD surgery with each of the patch grafts for superiorly-placed GDDs. Younger patients with cornea or sclera were more likely to report that their eyes looked abnormal.

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