Retrograde infusion of fluorescein to confirm location and patency of a glaucoma drainage device.
BACKGROUND
During surgical revision of a glaucoma drainage device, the status of the implant tube can be in question. We report two cases in which retrograde infusion of fluorescein-stained balanced salt solution was used to confirm the patency and location of the tube.


METHODS
Fluorescein-stained balanced salt solution was made by dipping a sterile fluorescein strip into a 3-mL syringe of balanced salt solution until the fluid was visibly yellow. A 30-gauge canula was inserted into the tube at the reservoir end, and fluorescein-stained balanced salt solution was infused into the eye.


RESULTS
Retrograde infusion of fluorescein-stained balanced salt solution confirmed the location and patency of the glaucoma drainage device implant tube, obviating the need for more extensive surgical intervention in these two cases. Neither patient experienced an adverse event.


CONCLUSIONS
Retrograde infusion of fluorescein-stained balanced salt solution is a useful adjunctive technique for surgical revision of glaucoma drainage devices.
Rhee
D J
DJ
Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Medical School, Florida 33313, USA.
Casuso
L A
LA
Budenz
D L
DL
D000085:Acetates; D002648:Child; D003287:Contrast Media; D004338:Drug Combinations; D005260:Female; D019793:Fluorescein; D005901:Glaucoma / Q000601:surgery; D020327:Glaucoma Drainage Implants; D006801:Humans; D007263:Infusions, Parenteral; D008875:Middle Aged; D008903:Minerals; D011183:Postoperative Complications / Q000175:diagnosis*; D019919:Prosthesis Implantation; D012086:Reoperation; D012965:Sodium Chloride
D000085:Acetates; C030660:BSS solution; D003287:Contrast Media; D004338:Drug Combinations; D008903:Minerals; D012965:Sodium Chloride; D019793:Fluorescein