title: The "Pull-Through" Suture; Facilitating Watertight Anterior Chamber Entry and Minimizing Early Hypotony in Glaucoma Tube Surgery.
abstract: Tube procedures are increasing world wide. One failing of all tube procedures is early hypotony; most commonly attributable to entry site leak as ligature and stent sutures become standard surgical practice. The tube versus trabeculectomy and primary tube versus trabeculectomy study protocols employ 21 G anterior chamber entry; however, entry site leaks can still occur often requiring suturing. Twenty-three-gauge entry produces a reliably watertight seal but can be technically challenging. The "Pull-Through" suture facilitates efficient and reproducible tube insertion while avoiding entry site trauma.
authors.affiliation: Glaucoma Department, Kings College Hospital, Denmark Hill, London, UK.
authors.forename: Dan
authors.initials: D
authors.lastname: Lindfield
authors.forename: Avi
authors.initials: A
authors.lastname: Kulkarni
mesh_terms: D000867:Anterior Chamber / Q000601:surgery*; D005901:Glaucoma / Q000601:surgery; D020327:Glaucoma Drainage Implants; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D015814:Ocular Hypotension / Q000503:physiopathology / Q000517:prevention & control*; D019919:Prosthesis Implantation / Q000379:methods*; D012590:Sclera / Q000601:surgery; D013529:Surgical Wound Dehiscence / Q000503:physiopathology / Q000517:prevention & control*; D013536:Suture Techniques