title: Oculo-peritoneal shunt: draining aqueous humor to the peritoneum.
abstract: In 2010, there were estimated to be approximately 60.5 million people with glaucoma. This number is expected to increase to 79.6 million by 2020. In 2010, there were 8.4 million people with bilateral blindness caused by glaucoma, and this number is expected in increase to 11.2 million by 2020. Filtering implants are special devices that have been developed to reduce intraocular pressure in patients with refractory glaucoma. The success rate of these implants is relatively low, and they continue to fail over time. To avoid failure caused by the formation of scar tissue around the implants, attempts have been made to drain the aqueous humor to various sites, including the venous system, lacrimal sac, sinuses, and conjunctival fornix. Recently, a system to shunt aqueous humor from the anterior chamber to the peritoneum has been developed. The surgical technique involved in this system is a modification of the technique currently used by neurosurgeons for the treatment of hydrocephalus. We present the first case operated using this technique.
authors.affiliation: Anterior Segment Department, Clínica de Ojos Maldonado-Bas, Córdoba, Argentina.
authors.forename: Ana
authors.initials: A
authors.lastname: Maldonado-Junyent
authors.affiliation: Clínica de Ojos Maldonado-Bas, Córdoba, Argentina.
authors.forename: Arturo
authors.initials: A
authors.lastname: Maldonado-Bas
authors.affiliation: General Surgery Department, Hospital Municipal de Urgencias of the city of Córdoba, Córdoba, Argentina.
authors.forename: Andrea
authors.initials: A
authors.lastname: Gonzalez
authors.affiliation: Department of Neurosurgery, Sanatorio Allende, Córdoba, Argentina.
authors.forename: Francisco
authors.initials: F
authors.lastname: Pueyrredón
authors.affiliation: Anterior Segment Department, Clínica de Ojos Maldonado-Bas, Córdoba, Argentina.
authors.forename: María
authors.initials: M
authors.lastname: Maldonado-Junyent
authors.affiliation: Anterior Segment Department, Clínica de Ojos Maldonado-Bas, Córdoba, Argentina.
authors.forename: Arturo
authors.initials: A
authors.lastname: Maldonado-Junyent
authors.affiliation: General Surgery Department, Hospital Municipal de Urgencias of the city of Córdoba, Córdoba, Argentina.
authors.forename: Diego
authors.initials: D
authors.lastname: Rodriguez
authors.affiliation: General Surgery Department, Hospital Misericordia Nuevo Siglo, Córdoba, Argentina.
authors.forename: Mariano
authors.initials: M
authors.lastname: Bulacio
mesh_terms: D000328:Adult; D001082:Aqueous Humor; D018463:Filtering Surgery / Q000295:instrumentation / Q000379:methods*; D005901:Glaucoma / Q000601:surgery*; D020327:Glaucoma Drainage Implants; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery; D008297:Male; D010529:Peritoneal Cavity / Q000601:surgery*; D015203:Reproducibility of Results; D016896:Treatment Outcome