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Abstract #24818 Published in IGR 11-4

Transcameral suture to prevent tube-corneal touch after glaucoma drainage device implantation: a new surgical technique

Bochmann F; Azuara-Blanco A
Journal of Glaucoma 2009; 18: 576-577

See also comment(s) by Jeffrey Liebmann


PURPOSE: To report a new technique to correct tube position in anterior chamber after glaucoma drainage device implantation. PATIENT AND METHODS: A patient who underwent a glaucoma drainage device implantation was noted to have the tube touching the corneal endothelium. A 10/0 polypropylene suture with double-armed 3-inch long straight needle was placed transcamerally from limbus to limbus, in the superior part of the eye, passing the needle in front of the tube. RESULTS: The position of the tube in the anterior chamber was corrected with optimal distance from corneal endothelium and iris surface. The position remained satisfactory after 20 months of follow-up. CONCLUSIONS: The placement of a transcameral suture offers a safe, quick, and minimal invasive intervention for the correction of the position of a glaucoma drainage device tube in the anterior chamber.

Department of Ophthalmology, Cantonal Hospital of Lucerne, Lucerne, Switzerland.


Classification:

12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)



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