Implantation of an alternative, novel glaucoma drainage device in the treatment of congenital glaucoma following two failed filtration surgeries
- Author:
Aldo Mar B. Cariaga, MD, DPBO
1
Author Information
- Publication Type:Other Types
- Keywords: Second glaucoma shunt insertion; failed glaucoma shunt; alternative glaucoma drainage device; Schocket implant
- MeSH: congenital glaucoma
- From: Philippine Journal of Ophthalmology 2023;48(1):29-32
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To describe a novel glaucoma drainage device fashioned from a scleral buckle and nasolacrimal silicone tube.
Method:This is a case report and a description of a surgical technique.
Results:A 6-year-old boy with congenital glaucoma who underwent 2 failed filter surgeries had medically uncontrolled intraocular pressures (IOP). Due to limited funds for a second glaucoma drainage device, the author utilized a portion of a scleral buckle and nasolacrimal silicone tube – the same raw materials used in the Schocket implant – to fashion a novel, non-valved glaucoma shunt that was implanted in the patient’s eye. Post-operatively, IOP was 8-10mmHg. This was sustained for 12 months without the need for supplemental anti-glaucoma medications. Postoperative complications included tube migration resulting in localized corneal decompensation and cataract formation.
Conclusion:The alternative GDD made from a portion of a scleral buckle and silicone tube may be an effective and economical alternative to the GDDs available in the market. - Full text:006-ORIGINAL-RESEARCH_PJO-JAN-JUN2023-CARIAGA_29-32_V2.pdf
