Implantation of glaucoma drainage implant tube into the ciliary sulcus in patients with corneal transplants.
The placement of glaucoma drainage implants may be complicated by tube-corneal touch and endothelial decompensation, particularly after corneal transplantation. We describe an innovative surgical approach to glaucoma drainage implant procedures that may decrease such complications. The approach involves placement of the shunt tube into the ciliary sulcus. This approach may serve as an alternative to anterior chamber angle or pars plana implant placement in pseudophakic or aphakic eyes with refractory glaucoma and a high risk for corneal decompensation.
Rumelt
S
S
Department of Ophthalmology, Western Galilee-Nahariya Medical Center, Nahariya, Israel.
Rehany
U
U
D000328:Adult; D000368:Aged; D002924:Ciliary Body / Q000601:surgery*; D016039:Corneal Transplantation / Q000009:adverse effects*; D004322:Drainage / Q000295:instrumentation*; D005901:Glaucoma / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D007431:Intraoperative Complications; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000379:methods*; D012599:Sclerostomy