title: Single clear corneal incision for glaucoma drainage device shortening in pediatric glaucoma.
abstract: Glaucoma drainage devices are commonly used for management of glaucoma in adults and children. With time, the position of the tube can change and cause damage such as corneal scarring, iris or lens contact, and uveitis. Most of these problems can be improved with tube shortening and/or excision of adherent iris or fibrous tissue. We describe a surgical technique that uses a single clear corneal incision to externalize and trim the shunt in pediatric patients. The technique has a short surgical. We review the indications and outcomes for this procedure in 13 eyes of 12 children who required shunt revision.
authors.affiliation: Department of Ophthalmology, University of Minnesota, Minneapolis.
authors.forename: Phillip M
authors.initials: PM
authors.lastname: Radke
authors.affiliation: Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota.
authors.forename: Elena
authors.initials: E
authors.lastname: Bitrian
authors.affiliation: Department of Ophthalmology, University of Minnesota, Minneapolis; Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida. Electronic address: AGrajewski@med.miami.edu.
authors.forename: Alana L
authors.initials: AL
authors.lastname: Grajewski
mesh_terms: D002648:Child; D002675:Child, Preschool; D003315:Cornea / Q000601:surgery*; D005901:Glaucoma / Q000503:physiopathology / Q000601:surgery*; D020327:Glaucoma Drainage Implants; D006801:Humans; D007223:Infant; D007429:Intraocular Pressure / Q000502:physiology; D013508:Ophthalmologic Surgical Procedures; D011475:Prosthesis Failure; D019919:Prosthesis Implantation / Q000379:methods; D012086:Reoperation; D013536:Suture Techniques