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01-12-2018 | Original Paper

“Double scleral tunnel in tandem” technique for glaucoma drainage tube implants

Authors: Dimitrios Brouzas, Maria Dettoraki, Konstantinos Andreanos, Nikolaos Nomikarios, Chryssanthi Koutsandrea, Marilita M. Moschos

Published in: International Ophthalmology | Issue 6/2018

Abstract

Purpose

To describe a new technique of Ahmed glaucoma valve implantation in patients with refractory glaucoma and present the long-term results.

Methods

Twenty-eight eyes of 28 patients with refractory glaucoma participated in the study. “Double scleral tunnel in tandem” technique was used for glaucoma valve implantation in all patients. The technique consists of the formation of two scleral tunnels in tandem so as to completely cover the extraocular part of valve’s tube and facilitate a parallel to the iris placement of the intraocular part of the tube.

Results

Postoperative hypotony developed in two (7.1%) cases which resolved within 3 days in all cases. One (3.6%) eye manifested postoperative hyphema that resolved without complications within a week, and two (7.1%) cases presented with exposure of the tube. The average highest postoperative intraocular pressure (IOP) during the follow-up period was 19 mmHg (range 8–38 mmHg) without medications, and the average IOP at the last follow-up visit was 14.5 mmHg (range 8–22 mmHg). Additional treatment for IOP control was necessary in 11 (39.3%) cases. The average follow-up period was 60 months.

Conclusion

This novel technique was found to be easy to master, effective and with low cost and rate of complications.

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Title: “Double scleral tunnel in tandem” technique for glaucoma drainage tube implants
Authors: Dimitrios Brouzas
Maria Dettoraki
Konstantinos Andreanos
Nikolaos Nomikarios
Chryssanthi Koutsandrea
Marilita M. Moschos
Publication date: 01-12-2018
Publisher: Springer Netherlands
Published in: International Ophthalmology / Issue 6/2018
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-017-0733-x

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

“Double scleral tunnel in tandem” technique for glaucoma drainage tube implants

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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