Modified aqueous drainage implants in the treatment of complicated glaucomas in eyes with pre-existing episcleral bands.
OBJECTIVE
Control of intraocular pressure (IOP) after retinal surgery with scleral band placement may be problematic. In this study, outcome after silastic drainage implant placement is reviewed.


METHODS
A retrospective chart review of 11 eyes in 11 patients with severe glaucoma after multiple surgeries, including scleral buckle procedures.


METHODS
Patients received silastic drainage implant surgery, either a long Krupin Denver valved implant (7) or a trimmed Baerveldt seton (4).


METHODS
Vision, IOP, and need for further glaucoma medication or glaucoma surgery were measured.


RESULTS
One- and 2-year life-table success rates (either complete or qualified success) were 82% and 73%, respectively, defining success as final IOP of 21 mmHg or less without need for further glaucoma surgery and no loss of visual acuity. Half of the successful eyes required antiglaucoma medication.


CONCLUSIONS
Silastic drainage implants may be a viable option in the treatment of complicated glaucoma after retinal surgery.
Smith
M F
MF
University of Florida School of Medicine, Department of Ophthalmology, Gainesville 32610, USA.
Doyle
J W
JW
Fanous
M M
MM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001082:Aqueous Humor / Q000378:metabolism*; D002648:Child; D005901:Glaucoma / Q000601:surgery*; D020327:Glaucoma Drainage Implants; D006801:Humans; D007429:Intraocular Pressure; D012163:Retinal Detachment / Q000601:surgery; D012189:Retrospective Studies; D012591:Scleral Buckling; D012826:Silicone Elastomers; D016896:Treatment Outcome; D014792:Visual Acuity
D012826:Silicone Elastomers