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PURPOSE: To describe a novel surgical technique and novel surgical instrumentation for fixating an extraocular drainage device used for glaucoma-filtering surgery. MATERIALS AND METHODS: The technique was performed in a laboratory setting using ex-vivo porcine eyes. We describe the surgical technique of using injectable, 25-gauge shape-memory clip system to fixate an Ahmed drainage device. RESULTS: The use of an injectable, shape-memory alloy clip provides the advantages of rapid, easy deployment and decreased risk of late suture failure. Importantly, the injectable, shape-memory clips can be used in surgical situations where suturing is difficult and time intensive, such as those encountered during glaucoma drainage device placement. CONCLUSIONS: The use of an injectable, shape-memory alloy clip is a promising new surgical tool and technique for fixating an extraocular drainage device used for glaucoma surgery.
Rocky Mountain Lions Eye Institute, University of Colorado, Denver, CO, USA.
Full article12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)