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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
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)