Tube Erosion with Scleral Melting after Ahmed Valve Implantation Using a Synthetic Dural Substitute.
10.3341/jkos.2017.58.7.879
- Author:
Hyun Min AHN
1
;
Jong Woon PARK
Author Information
1. Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Ahmed valve complication;
Neuro-patch;
Synthetic dura;
Tube erosion
- MeSH:
Conjunctiva;
Endophthalmitis;
Freezing*;
Glaucoma;
Humans;
Methods
- From:Journal of the Korean Ophthalmological Society
2017;58(7):879-884
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The objective of this case report was to present tube erosion of Ahmed valve implantation using a synthetic dura substitute (Neuro-Patch®, B. Braun, Boulogne, France). CASE SUMMARY: Tube erosion was caused by dissolution of the conjunctiva and partial-thickness scleral tunnel in 5 patients who received Ahmed valve implantation using a synthetic dura substitute for glaucoma treatment 2 to 4 months after the operation. Furthermore, the patients required re-operation for preventing secondary complications such as endophthalmitis. CONCLUSIONS: This case series using a synthetic dura substitute in Ahmed valve implantation demonstrated the risk of tube erosion with scleral tunnel melting and following secondary complications even with a partial-thickness scleral tunnel method.
