title: Laser tube ligature release following aqueous shunt implantation in young children.
abstract: The implantation of non-valved aqueous shunting devices in children is often complicated by intraocular pressure elevation in the early postoperative period, during which time the tube is closed with a temporary suture ligature to avoid hypotony. Release of a polyglactin suture ligature using conventional laser lysis is not possible in young children in the clinic setting. The authors describe a minimally invasive technique using a portable green diode (532-nm) laser delivered through a standard endoprobe and a Hoskins laser suture lysis lens to disrupt a polyglactin suture ligature following pars plana aqueous shunt implantation in a young child.
authors.affiliation: Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, New York 10003, USA. psidoti@nyee.edu
authors.forename: Paul A
authors.initials: PA
authors.lastname: Sidoti
authors.forename: Joseph F
authors.initials: JF
authors.lastname: Panarelli
authors.forename: Raquel
authors.initials: R
authors.lastname: Huruta-Dias
authors.forename: Juliana
authors.initials: J
authors.lastname: Jardim
authors.forename: Jonathan
authors.initials: J
authors.lastname: Leon-Rosen
authors.forename: Richard B
authors.initials: RB
authors.lastname: Rosen
mesh_terms: D002648:Child; D020327:Glaucoma Drainage Implants; D006801:Humans; D053685:Laser Therapy; D054023:Lasers, Semiconductor; D008026:Ligation; D019060:Minimally Invasive Surgical Procedures; D011098:Polyglactin 910; D013537:Sutures
chemical_list: D011098:Polyglactin 910