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A new surgical technique of intra-scleral tube fixation in Ahmed Glaucoma Valve implantation: 'Scleral Sleeve Method'.
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ABSTRACT: Purpose
To present a new surgical technique 'Scleral Sleeve Method' which would reduce the risk of Ahmed Glaucoma Valve (AGV) tube related complications in patients undergoing AGV FP7 (New World Medical Inc., Rancho Cucamonga, CA) for refractory glaucoma.Design
Prospective, Non-Randomized, hospital based interventional case series.Subjects
A total of 16 eyes of adult patients (10 males and 6 females) with refractory glaucoma.Methods
Instead of using sutures to fix the AGV tube to sclera, we devised a novel method of intra-scleral tube fixation by creating a scleral tunnel fashioned in form of sleeve.Main outcome measure
Post-operative tube related complications.Result
There were no tube related complications such as exposure, extrusion or retraction in any of the cases.Conclusion
Use of scleral sleeve method for tube fixation, along with graft to cover the tube, will provide additional safety measure and reduce the risks of tube related complications.
SUBMITTER: Kalamkar C
PROVIDER: S-EPMC5717499 | biostudies-literature | 2017 Oct-Dec
REPOSITORIES: biostudies-literature
Publications
A new surgical technique of intra-scleral tube fixation in Ahmed Glaucoma Valve implantation: 'Scleral Sleeve Method'.
Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society 20170409 4
<h4>Purpose</h4>To present a new surgical technique 'Scleral Sleeve Method' which would reduce the risk of Ahmed Glaucoma Valve (AGV) tube related complications in patients undergoing AGV FP7 (New World Medical Inc., Rancho Cucamonga, CA) for refractory glaucoma.<h4>Design</h4>Prospective, Non-Randomized, hospital based interventional case series.<h4>Subjects</h4>A total of 16 eyes of adult patients (10 males and 6 females) with refractory glaucoma.<h4>Methods</h4>Instead of using sutures to fix ...[more]