[Lateral tube repositioning following a Baerveldt glaucoma implant. An alternative surgical procedure in the case of repeated conjunctival arrosion].
Conjunctival arrosion of the silicone tube following glaucoma implant surgery is a postoperative complication that generally requires surgical revision by means of a sclera or dura patch with mobilization of adjacent conjunctiva. We present a case of repeated conjunctival arrosion following Baerveldt implant surgery, in which successful revision was achieved over the course of a year by changing the insertion site of the silicone tube into the anterior chamber without touching the plate of the glaucoma implant. However, a long enough silicone tube is absolutely essential if this strategy is to work.
Dietlein
T S
TS
Zentrum für Augenheilkunde, Universität Köln, 50931, Köln. Thomas.Dietlein@uk-koeln.de
Jordan
J
J
Krieglstein
G K
GK
D000328:Adult; D003229:Conjunctival Diseases / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D020327:Glaucoma Drainage Implants / Q000009:adverse effects*; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D011475:Prosthesis Failure; D019919:Prosthesis Implantation / Q000379:methods; D012086:Reoperation