Tube Length Adjustment and Tube Trimming Technique in Refractory Glaucoma
Joint Authors
Soebijantoro, Iwan
Noor, Nina Asrini
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-22
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Secondary glaucoma may develop after vitreoretinal surgery as it is a known risk factor for its development.
When the risk factors are more than one, for instance along with neovascular glaucoma (NVG), the secondary glaucoma may become recalcitrant and very difficult to manage.
Surgical intervention is often warranted to control intraocular pressure (IOP) and prevent progressive glaucomatous damage in patients with refractory glaucoma, and glaucoma drainage implant may be preferred as the primary choice.
We describe a patient who develop secondary glaucoma after vitrectomy and silicone oil (SO) injection due to unresolved vitreous hemorrhage in proliferative diabetic retinopathy (PDR) and subsequent NVG.
Baerveldt glaucoma implant (BGI) was carried out and placed in the superotemporal quadrant with longer anterior chamber tube placement to prevent escape of SO through the tube.
Qualified success was achieved with additional one fixed-drug combination (FDC).
However, 3 years later, the tube was blocked by the iris tissue at the inferior edge of the pupil.
Tube trimming was performed efficiently using a simple technique.
The distal end of the tube was pulled out of the anterior chamber through a paracentesis just next to the tube entrance and trimmed to the appropriate length.
More than a year after the surgery, IOP was still well controlled with the same FDC.
Unfortunately, the visual acuity could not be recovered due to advanced PDR.
American Psychological Association (APA)
Soebijantoro, Iwan& Noor, Nina Asrini. 2020. Tube Length Adjustment and Tube Trimming Technique in Refractory Glaucoma. Case Reports in Ophthalmological Medicine،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1149731
Modern Language Association (MLA)
Soebijantoro, Iwan& Noor, Nina Asrini. Tube Length Adjustment and Tube Trimming Technique in Refractory Glaucoma. Case Reports in Ophthalmological Medicine No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1149731
American Medical Association (AMA)
Soebijantoro, Iwan& Noor, Nina Asrini. Tube Length Adjustment and Tube Trimming Technique in Refractory Glaucoma. Case Reports in Ophthalmological Medicine. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1149731
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149731