Pericardium Plug in the Repair of the Corneoscleral Fistula After Ahmed Glaucoma Valve Explantation
We report four cases in which a pericardium (Tutoplast) plug was used to repair a corneoscleral fistula after Ahmed Glaucoma Valve (AGV) explantation. In four cases in which the AGV tube had been exposed, AGV explantation was performed using a pericardium (Tutoplast) plug to seal the defect previous...
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| Veröffentlicht in: | Korean journal of ophthalmology Jg. 22; H. 4; S. 268 - 271 |
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| Sprache: | Englisch |
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Korea (South)
The Korean Ophthalmological Society
01.12.2008
대한안과학회 |
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| ISSN: | 1011-8942, 2092-9382 |
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| Abstract | We report four cases in which a pericardium (Tutoplast) plug was used to repair a corneoscleral fistula after Ahmed Glaucoma Valve (AGV) explantation. In four cases in which the AGV tube had been exposed, AGV explantation was performed using a pericardium (Tutoplast) plug to seal the defect previously occupied by the tube. After debridement of the fistula, a piece of processed pericardium (Tutoplast), measured 1 mm in width, was plugged into the fistula and secured with two interrupted 10-0 nylon sutures. To control intraocular pressure, a new AGV was implanted elsewhere in case 1, phaco-trabeculectomy was performed concurrently in case 2, cyclophotocoagulation was performed postoperatively in case 3 and anti-glaucomatous medication was added in case 4. No complication related to the fistula developed at the latest follow-up (range: 12-26 months). The pericardium (Tutoplast) plug seems to be an effective method in the repair of corneoscleral fistulas resulting from explantation of glaucoma drainage implants. |
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| AbstractList | We report four cases in which a pericardium (Tutoplast) plug was used to repair a corneoscleral fistula after Ahmed Glaucoma Valve (AGV) explantation. In four cases in which the AGV tube had been exposed, AGV explantation was performed using a pericardium (Tutoplast) plug to seal the defect previously occupied by the tube. After debridement of the fistula, a piece of processed pericardium (Tutoplast), measured 1 mm in width, was plugged into the fistula and secured with two interrupted 10-0 nylon sutures. To control intraocular pressure, a new AGV was implanted elsewhere in case 1, phaco-trabeculectomy was performed concurrently in case 2, cyclophotocoagulation was performed postoperatively in case 3 and anti-glaucomatous medication was added in case 4. No complication related to the fistula developed at the latest follow-up (range: 12-26 months). The pericardium (Tutoplast) plug seems to be an effective method in the repair of corneoscleral fistulas resulting from explantation of glaucoma drainage implants. We report four cases in which a pericardium (Tutoplast) plug was used to repair a corneoscleral fistula after Ahmed Glaucoma Valve (AGV) explantation. In four cases in which the AGV tube had been exposed, AGV explantation was performed using a pericardium (Tutoplast) plug to seal the defect previously occupied by the tube. After debridement of the fistula, a piece of processed pericardium (Tutoplast), measured 1 mm in width, was plugged into the fistula and secured with two interrupted 10-0 nylon sutures. To control intraocular pressure, a new AGV was implanted elsewhere in case 1, phaco-trabeculectomy was performed concurrently in case 2, cyclophotocoagulation was performed postoperatively in case 3 and anti-glaucomatous medication was added in case 4. No complication related to the fistula developed at the latest follow-up (range: 12-26 months). The pericardium (Tutoplast) plug seems to be an effective method in the repair of corneoscleral fistulas resulting from explantation of glaucoma drainage implants.We report four cases in which a pericardium (Tutoplast) plug was used to repair a corneoscleral fistula after Ahmed Glaucoma Valve (AGV) explantation. In four cases in which the AGV tube had been exposed, AGV explantation was performed using a pericardium (Tutoplast) plug to seal the defect previously occupied by the tube. After debridement of the fistula, a piece of processed pericardium (Tutoplast), measured 1 mm in width, was plugged into the fistula and secured with two interrupted 10-0 nylon sutures. To control intraocular pressure, a new AGV was implanted elsewhere in case 1, phaco-trabeculectomy was performed concurrently in case 2, cyclophotocoagulation was performed postoperatively in case 3 and anti-glaucomatous medication was added in case 4. No complication related to the fistula developed at the latest follow-up (range: 12-26 months). The pericardium (Tutoplast) plug seems to be an effective method in the repair of corneoscleral fistulas resulting from explantation of glaucoma drainage implants. We report four cases in which a pericardium (Tutoplast®) plug was used to repair a corneoscleral fistula after Ahmed Glaucoma Valve (AGV) explantation. In four cases in which the AGV tube had been exposed, AGV explantation was performed using a pericardium (Tutoplast®) plug to seal the defect previously occupied by the tube. After debridement of the fistula, a piece of processed pericardium (Tutoplast®), measured 1 mm in width, was plugged into the fistula and secured with two interrupted 10-0 nylon sutures. To control intraocular pressure, a new AGV was implanted elsewhere in case 1, phaco-trabeculectomy was performed concurrently in case 2, cyclophotocoagulation was performed postoperatively in case 3 and anti-glaucomatous medication was added in case 4. No complication related to the fistula developed at the latest follow-up (range: 12~26 months). The pericardium (Tutoplast®) plug seems to be an effective method in the repair of corneoscleral fistulas resulting from explantation of glaucoma drainage implants. KCI Citation Count: 0 We report four cases in which a pericardium (Tutoplast®) plug was used to repair a corneoscleral fistula after Ahmed Glaucoma Valve (AGV) explantation. In four cases in which the AGV tube had been exposed, AGV explantation was performed using a pericardium (Tutoplast®) plug to seal the defect previously occupied by the tube. After debridement of the fistula, a piece of processed pericardium (Tutoplast®), measured 1 mm in width, was plugged into the fistula and secured with two interrupted 10-0 nylon sutures. To control intraocular pressure, a new AGV was implanted elsewhere in case 1, phaco-trabeculectomy was performed concurrently in case 2, cyclophotocoagulation was performed postoperatively in case 3 and anti-glaucomatous medication was added in case 4. No complication related to the fistula developed at the latest follow-up (range: 12~26 months). The pericardium (Tutoplast®) plug seems to be an effective method in the repair of corneoscleral fistulas resulting from explantation of glaucoma drainage implants. |
| Author | Kwon, Sung Wook Yoo, Chungkwon Kim, Yong Yeon |
| AuthorAffiliation | Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea |
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| CitedBy_id | crossref_primary_10_1038_eye_2013_44 crossref_primary_10_1177_11206721211004398 crossref_primary_10_1136_bcr_2020_239585 crossref_primary_10_5005_jp_journals_10078_1453 crossref_primary_10_1111_vop_12047 crossref_primary_10_3109_08820538_2015_1045302 |
| Cites_doi | 10.1097/00061198-200112000-00010 10.3928/1542-8877-19990101-10 10.1016/S0002-9394(98)00394-8 10.1136/bjo.2005.084905 10.3928/1542-8877-19970401-16 10.1001/archopht.117.9.1243 10.1001/archopht.116.5.571 10.1016/S0161-6420(92)31772-5 10.1016/S0161-6420(98)91049-1 10.1016/S0161-6420(01)00598-X 10.1001/archopht.121.12.1772 10.1016/S0161-6420(95)30871-8 10.1016/S0002-9394(14)70992-4 |
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| Snippet | We report four cases in which a pericardium (Tutoplast) plug was used to repair a corneoscleral fistula after Ahmed Glaucoma Valve (AGV) explantation. In four... We report four cases in which a pericardium (Tutoplast®) plug was used to repair a corneoscleral fistula after Ahmed Glaucoma Valve (AGV) explantation. In four... |
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| SubjectTerms | Adolescent Case Report Corneal Diseases - etiology Corneal Diseases - surgery Device Removal - adverse effects Fistula - etiology Fistula - surgery Glaucoma Drainage Implants Glaucoma, Neovascular - surgery Humans Intraocular Pressure Male Middle Aged Pericardium - transplantation Postoperative Complications Reoperation Scleral Diseases - etiology Scleral Diseases - surgery Suture Techniques 안과학 |
| Title | Pericardium Plug in the Repair of the Corneoscleral Fistula After Ahmed Glaucoma Valve Explantation |
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