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
Hauptverfasser: Yoo, Chungkwon, Kwon, Sung Wook, Kim, Yong Yeon
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Korea (South) The Korean Ophthalmological Society 01.12.2008
대한안과학회
Schlagworte:
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
ISSN:1011-8942, 2092-9382
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Zusammenfassung: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.
Bibliographie:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
G704-002170.2008.22.4.009
ISSN:1011-8942
2092-9382
DOI:10.3341/kjo.2008.22.4.268