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Abstract #19752 Published in IGR 9-4
Lateral tube repositioning following a Baerveldt glaucoma implant : An alternative surgical procedure in the case of repeated conjunctival arrosion
Dietlein TS; Jordan J; Krieglstein GKOphthalmologe 2007; 104: 508-510
Conjunctival arrosion of the silicone tube following glaucoma implant surgery is a postoperative complication that generally requires surgical revision by means of a sclera or dura patch with mobilization of adjacent conjunctiva. We present a case of repeated conjunctival arrosion following Baerveldt implant surgery, in which successful revision was achieved over the course of a year by changing the insertion site of the silicone tube into the anterior chamber without touching the plate of the glaucoma implant. However, a long enough silicone tube is absolutely essential if this strategy is to work.
Dr. T.S. Dietlein, Zentrum fur Augenheilkunde, Universität Köln, Joseph-Stelzmann-Strasse 9, 50931 Köln, Germany. Thomas.Dietlein@uk-koeln.de
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
