title: Fibrin sealant-assisted revision of the exposed Ahmed tube.
abstract: Tube exposure is a known complication of Ahmed glaucoma valve (AGV) implantation. Repair of the exposed tube is not easy. A 42-year-old monocular aphakic male had undergone retinal detachment repair with placement of an episcleral-encircling band followed by implantation of AGV. He presented to the clinic on routine review with exposure of the shunt tube. The complication was managed by placing scleral and conjunctival grafts over the exposed tube using a fibrin adhesive (Tisseel kit; Baxter AG, Vienna, Austria). The novel use of the fibrin sealant in the repair of AGV tube exposure was for better graft-integration.
authors.affiliation: Department of Glaucoma, Jadhavbhai Nathamal Singhvi, Sankara Nethralaya, Chennai, Tamil Nadu, India ; V S T Glaucoma Centre, Dr. Kallam Anji Reddy Campus, L V Prasad Eye Institute, Hyderabad, India.
authors.forename: Nikhil S
authors.initials: NS
authors.lastname: Choudhari
authors.affiliation: Department of Glaucoma, Jadhavbhai Nathamal Singhvi, Sankara Nethralaya, Chennai, Tamil Nadu, India.
authors.forename: Aditya
authors.initials: A
authors.lastname: Neog
authors.affiliation: Department of Glaucoma, Jadhavbhai Nathamal Singhvi, Sankara Nethralaya, Chennai, Tamil Nadu, India.
authors.forename: Supriya
authors.initials: S
authors.lastname: Latka
authors.affiliation: Dr. G. Sitalakshmi Memorial Clinic for Ocular Surface Disorders, Sankara Nethralaya, Chennai, Tamil Nadu, India.
authors.forename: Bhaskar
authors.initials: B
authors.lastname: Srinivasan
mesh_terms: D000328:Adult; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D020327:Glaucoma Drainage Implants; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008297:Male; D019919:Prosthesis Implantation / Q000379:methods*; D012086:Reoperation; D012163:Retinal Detachment / Q000601:surgery; D012591:Scleral Buckling; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014792:Visual Acuity / Q000502:physiology
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives
keywords: Ahmed Glaucoma Valve; Episcleral Encircling Element; Fibrin Sealant; Tube Exposure