The role of glaucoma drainage devices (GDDs) for refractory glaucoma is well established because of certain advantages offered over conventional filtering surgeries. However, the correct plane of placement of the GDD tube inside an eye with an opaque cornea can be challenging, due to poor intra-operative visualization. These cases are also challenging if they undergo subsequent corneal grafting. In cases with presence of totally opaque cornea precluding tube visualization within the anterior chamber, we describe a novel technique for ensuring the correct positioning of a GDD tube.
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http://dx.doi.org/10.4103/IJO.IJO_2943_24 | DOI Listing |
Indian J Ophthalmol
March 2025
Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
The role of glaucoma drainage devices (GDDs) for refractory glaucoma is well established because of certain advantages offered over conventional filtering surgeries. However, the correct plane of placement of the GDD tube inside an eye with an opaque cornea can be challenging, due to poor intra-operative visualization. These cases are also challenging if they undergo subsequent corneal grafting.
View Article and Find Full Text PDFJ Glaucoma
January 2025
Department of Ophthalmology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Precis: Glaucoma surgery impacts corneal graft survival differently by procedure type, with GDDs being most effective at reducing intraocular pressure. However, graft survival rates are comparable across trabeculectomy, CPC, and GDDs. Trabeculectomy improves visual acuity best but often requires additional interventions.
View Article and Find Full Text PDFJ Glaucoma
December 2024
Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical School, Boston, MA, USA.
Precis: Second trabeculectomy and glaucoma drainage device implantation offer similar success rates for juvenile open angle glaucoma after initial trabeculectomy failure. However, second trabeculectomies required fewer medications. A quarter of patients in both groups required a third operation after 2.
View Article and Find Full Text PDFKlin Monbl Augenheilkd
February 2025
Glaucoma drainage devices (GDD) are used for patients with secondary glaucoma, such as uveitic or neovascular glaucoma, which is uncontrolled under local therapy. They are also used in patients with conjunctival scarring, for example after a previous vitrectomy or after unsuccessful previous glaucoma surgery, such as trabeculectomy. They are also a treatment option for congenital glaucoma, aphakic glaucoma or for the treatment of iridocorneoendothelial syndromes.
View Article and Find Full Text PDFJ Curr Glaucoma Pract
October 2024
Department of Ophthalmology, Manchester Royal Eye Hospital, Manchester, England, United Kingdom.
Aim And Background: To describe a novel and uncomplicated technique of elongating the tubing of a glaucoma drainage device (GDD) sourced from a segment of the tube from a Paul® Glaucoma Implant (PGI).
Surgical Technique: Conjunctival and Tenon's peritomy are performed with relaxing incisions to expose the original tube. The original tube is then removed from the anterior chamber, and the original entry site is closed.
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