advertisement
Abstract #11560 Published in IGR 6-3
Oculoplastic technique of connecting a glaucoma valve shunt to extraorbital locations in cases of severe glaucoma
Rubin PAD; Chang E; Bernardino CR; Hatton MP; Dohlman CHOphthalmic Plastic and Reconstructive Surgery 2004; 20: 362-367
PURPOSE: To describe a technique for inserting glaucoma shunts to the sinuses or the lacrimal sac as a means of lowering intraocular pressure in patients with refractory glaucoma associated with severe ocular surface disease. METHODS: Nineteen patients with severe ocular surface disease necessitating a keratoprosthesis and with intractable glaucoma underwent placement of a modified Ahmed shunt to direct aqueous in the maxillary or ethmoid sinus or lacrimal sac. RESULTS: Intraocular pressure is presently well controlled without glaucoma medications in two thirds of patients. None of the patients had endophthalmitis. CONCLUSIONS: Established oculoplastic surgery techniques may be used to redirect aqueous to extraorbital locations and effectively lower intraocular pressure in patients with severe ocular surface disease and refractory glaucoma. This procedure has not been associated with endophthalmitis.
Dr. P.A.D. Rubin, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114-3096, USA
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
