Abstract
BACKGROUND AND OBJECTIVE: To determine the efficacy of surgical revision of glaucoma shunt implants in patients with advanced glaucoma. PATIENTS AND METHODS: The records of 13 patients who underwent revision of their shunt implants were retrospectively reviewed. RESULTS: Surgical success was achieved in 3 of 3 patients (100%) with drainage tube malposition or extrusion; 1 of 6 patients (17%) with occlusion of the intracameral portion of the drainage tube; and 1 of 4 patients (25%) with elevated intraocular pressure secondary to fibrous capsule formation over the implant. CONCLUSIONS: Surgical revision of glaucoma shunt implants is a useful procedure in patients who develop tube malposition or extrusion: Surgical revision is much less effective in patients with tube occlusion or fibrous capsule formation. Failure of the shunts due to recurrent fibrosis is commonly observed.
| Original language | English |
|---|---|
| Pages (from-to) | 41-46 |
| Number of pages | 6 |
| Journal | Ophthalmic Surgery and Lasers |
| Volume | 30 |
| Issue number | 1 |
| State | Published - Jan 1 1999 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Ophthalmology
Cite this
Surgical revision of glaucoma shunt implants. / Tsai, James C.; Grajewski, Alana Lee; Parrish, Richard K.
In: Ophthalmic Surgery and Lasers, Vol. 30, No. 1, 01.01.1999, p. 41-46.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Surgical revision of glaucoma shunt implants
AU - Tsai, James C.
AU - Grajewski, Alana Lee
AU - Parrish, Richard K
PY - 1999/1/1
Y1 - 1999/1/1
N2 - BACKGROUND AND OBJECTIVE: To determine the efficacy of surgical revision of glaucoma shunt implants in patients with advanced glaucoma. PATIENTS AND METHODS: The records of 13 patients who underwent revision of their shunt implants were retrospectively reviewed. RESULTS: Surgical success was achieved in 3 of 3 patients (100%) with drainage tube malposition or extrusion; 1 of 6 patients (17%) with occlusion of the intracameral portion of the drainage tube; and 1 of 4 patients (25%) with elevated intraocular pressure secondary to fibrous capsule formation over the implant. CONCLUSIONS: Surgical revision of glaucoma shunt implants is a useful procedure in patients who develop tube malposition or extrusion: Surgical revision is much less effective in patients with tube occlusion or fibrous capsule formation. Failure of the shunts due to recurrent fibrosis is commonly observed.
AB - BACKGROUND AND OBJECTIVE: To determine the efficacy of surgical revision of glaucoma shunt implants in patients with advanced glaucoma. PATIENTS AND METHODS: The records of 13 patients who underwent revision of their shunt implants were retrospectively reviewed. RESULTS: Surgical success was achieved in 3 of 3 patients (100%) with drainage tube malposition or extrusion; 1 of 6 patients (17%) with occlusion of the intracameral portion of the drainage tube; and 1 of 4 patients (25%) with elevated intraocular pressure secondary to fibrous capsule formation over the implant. CONCLUSIONS: Surgical revision of glaucoma shunt implants is a useful procedure in patients who develop tube malposition or extrusion: Surgical revision is much less effective in patients with tube occlusion or fibrous capsule formation. Failure of the shunts due to recurrent fibrosis is commonly observed.
UR - http://www.scopus.com/inward/record.url?scp=0032923914&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032923914&partnerID=8YFLogxK
M3 - Article
C2 - 9923492
AN - SCOPUS:0032923914
VL - 30
SP - 41
EP - 46
JO - Ophthalmic Surgery Lasers and Imaging Retina
JF - Ophthalmic Surgery Lasers and Imaging Retina
SN - 2325-8160
IS - 1
ER -