Internal Tube Occlusion with An Easily Removable Non-Absorbable Double Suture: A Novel Surgical Technique Adjunct for Non-Valved Glaucoma Drainage Devices
To describe a surgical variant for non-valved glaucoma drainage device implants using an easily removable non-absorbable double suture into the lumen of the tube. A retrospective, non-comparative case series of 10 patients who underwent a non-valved glaucoma drainage device implant with an endolumin...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Vision |
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| Online Access: | https://www.mdpi.com/2411-5150/7/1/14 |
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| author | Alfonso Savastano Gloria Gambini Maria Cristina Savastano Matteo Mario Carlà Clara Rizzo Tomaso Caporossi Emanuele Crincoli Stanislao Rizzo |
| author_facet | Alfonso Savastano Gloria Gambini Maria Cristina Savastano Matteo Mario Carlà Clara Rizzo Tomaso Caporossi Emanuele Crincoli Stanislao Rizzo |
| author_sort | Alfonso Savastano |
| collection | DOAJ |
| description | To describe a surgical variant for non-valved glaucoma drainage device implants using an easily removable non-absorbable double suture into the lumen of the tube. A retrospective, non-comparative case series of 10 patients who underwent a non-valved glaucoma drainage device implant with an endoluminal double-suture for refractory glaucoma. The sutures were easily removed postoperatively without the need for an operating room. Intraocular pressure, number of medications, and early and late complications were evaluated with a follow-up of 12 months. None of the eyes that underwent an operation developed early or late complications. The first endoluminal suture was removed in all eyes with a mean time of removal of 30 ± 7 days. The second suture was removed in all eyes with a mean time of removal of 90 ± 7 days. No complications were noted, either, after or during suture removal. The mean preoperative IOP was 27.3 ± 4.0 and the postoperative IOP, at the end of the follow-up, was 12.7 ± 1.4. At the end of the follow-up, six patients (60%) achieved complete success and four patients (40%) achieved qualified success. In conclusion, in our case series, the surgical variant allowed for a safe and gradual regulation of the flow during postoperative management. Considering the efficacy of non-valved glaucoma drainage devices, an improvement in the safety profile allows surgeons to broaden the surgical indications. |
| first_indexed | 2024-03-11T05:45:38Z |
| format | Article |
| id | doaj.art-43383d840107409ba595f181290392b4 |
| institution | Directory Open Access Journal |
| issn | 2411-5150 |
| language | English |
| last_indexed | 2024-03-11T05:45:38Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vision |
| spelling | doaj.art-43383d840107409ba595f181290392b42023-11-17T14:24:53ZengMDPI AGVision2411-51502023-02-01711410.3390/vision7010014Internal Tube Occlusion with An Easily Removable Non-Absorbable Double Suture: A Novel Surgical Technique Adjunct for Non-Valved Glaucoma Drainage DevicesAlfonso Savastano0Gloria Gambini1Maria Cristina Savastano2Matteo Mario Carlà3Clara Rizzo4Tomaso Caporossi5Emanuele Crincoli6Stanislao Rizzo7Ophthalmology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyOphthalmology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyOphthalmology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyOphthalmology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyOphthalmology Unit, Department of Surgery, University Hospital, 56100 Pisa, ItalyOphthalmology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyOphthalmology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyOphthalmology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyTo describe a surgical variant for non-valved glaucoma drainage device implants using an easily removable non-absorbable double suture into the lumen of the tube. A retrospective, non-comparative case series of 10 patients who underwent a non-valved glaucoma drainage device implant with an endoluminal double-suture for refractory glaucoma. The sutures were easily removed postoperatively without the need for an operating room. Intraocular pressure, number of medications, and early and late complications were evaluated with a follow-up of 12 months. None of the eyes that underwent an operation developed early or late complications. The first endoluminal suture was removed in all eyes with a mean time of removal of 30 ± 7 days. The second suture was removed in all eyes with a mean time of removal of 90 ± 7 days. No complications were noted, either, after or during suture removal. The mean preoperative IOP was 27.3 ± 4.0 and the postoperative IOP, at the end of the follow-up, was 12.7 ± 1.4. At the end of the follow-up, six patients (60%) achieved complete success and four patients (40%) achieved qualified success. In conclusion, in our case series, the surgical variant allowed for a safe and gradual regulation of the flow during postoperative management. Considering the efficacy of non-valved glaucoma drainage devices, an improvement in the safety profile allows surgeons to broaden the surgical indications.https://www.mdpi.com/2411-5150/7/1/14glaucomalong tubedrainage deviceBaerveldtglaucoma surgery |
| spellingShingle | Alfonso Savastano Gloria Gambini Maria Cristina Savastano Matteo Mario Carlà Clara Rizzo Tomaso Caporossi Emanuele Crincoli Stanislao Rizzo Internal Tube Occlusion with An Easily Removable Non-Absorbable Double Suture: A Novel Surgical Technique Adjunct for Non-Valved Glaucoma Drainage Devices Vision glaucoma long tube drainage device Baerveldt glaucoma surgery |
| title | Internal Tube Occlusion with An Easily Removable Non-Absorbable Double Suture: A Novel Surgical Technique Adjunct for Non-Valved Glaucoma Drainage Devices |
| title_full | Internal Tube Occlusion with An Easily Removable Non-Absorbable Double Suture: A Novel Surgical Technique Adjunct for Non-Valved Glaucoma Drainage Devices |
| title_fullStr | Internal Tube Occlusion with An Easily Removable Non-Absorbable Double Suture: A Novel Surgical Technique Adjunct for Non-Valved Glaucoma Drainage Devices |
| title_full_unstemmed | Internal Tube Occlusion with An Easily Removable Non-Absorbable Double Suture: A Novel Surgical Technique Adjunct for Non-Valved Glaucoma Drainage Devices |
| title_short | Internal Tube Occlusion with An Easily Removable Non-Absorbable Double Suture: A Novel Surgical Technique Adjunct for Non-Valved Glaucoma Drainage Devices |
| title_sort | internal tube occlusion with an easily removable non absorbable double suture a novel surgical technique adjunct for non valved glaucoma drainage devices |
| topic | glaucoma long tube drainage device Baerveldt glaucoma surgery |
| url | https://www.mdpi.com/2411-5150/7/1/14 |
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