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Abstract #21223 Published in IGR 10-2

Improvised 3-0 polypropylene plug for the glaucoma drainage tube during phacoemulsification

Fechter HP
Ophthalmic Surgery Lasers and Imaging 2008; 39: 86-87


Overfiltration through a preexisting glaucoma drainage tube can make subsequent phacoemulsification surgery more challenging due to a dangerously shallow anterior chamber. The author improvised a 3-0 polypropylene plug to occlude the implant tube during phacoemulsification in two patients with uveitic glaucoma and a prior Baerveldt glaucoma drainage device. The improvised plug safely and effectively maintained the anterior chamber during phacoemulsification. A 3-0 polypropylene suture can be tied, trimmed, and inserted into a glaucoma drainage implant tube, in select cases, to maintain the anterior chamber during cataract surgery.

Dr. H.P. Fechter, 602 Cloisters Way, Evans, GA 30809, USA


Classification:

12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)



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