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Abstract #10208 Published in IGR 6-1
Avoiding and managing complications of glaucoma drainage implants
Nguyen QHCurrent Opinions in Ophthalmology 2004; 15: 147-150
PURPOSE OF REVIEW: The incentive for continued interest in aqueous devices in selected cases is mainly the result of the 5% incidence of late 'blebitis' and endophthalmitis. The purpose of this review was to cover the most common complications that may arise, and to offer strategies and techniques to avoid or rectify the complication. RECENT FINDINGS: Complications of aqueous drainage devices are categorized in three stages: intraoperative, early postoperative (< 1 month), and late postoperative (>1 month). Intraoperative complications consist of anterior chamber entry, tube misdirection, and scleral perforation. Early postoperative complication includes hypotony and flat anterior chamber, choroidal effusions, and suprachoroidal hemorrhage. Late postoperative complication comprise tube migration, tube or plate extrusion, motility disturbance, and infection. SUMMARY: Most complications seen in glaucoma drainage implants are self-resolving and rarely threaten visual outcome.
Dr. Q.H. Nguyen, Glaucoma Service, Division of Ophthalmology, Scripps Clinic, La Jolla, CA, USA. qnguyen@scrippsclinic.com
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)