Surgical Repair of the Extrusion of the Body of a PAUL Implant for Glaucoma
The purpose of our article was to describe a simple but effective surgical technique performed on a patient with an extrusion of part of the body of a PAUL drainage implant for glaucoma. We present the case of a patient with refractory glaucoma and a history of multiple ocular interventions. A PAUL...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2022-08-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://beta.karger.com/Article/FullText/525985 |
| _version_ | 1798000104411496448 |
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| author | Elena Milla Jordi Izquierdo Bernardo Sanchez Dalmau |
| author_facet | Elena Milla Jordi Izquierdo Bernardo Sanchez Dalmau |
| author_sort | Elena Milla |
| collection | DOAJ |
| description | The purpose of our article was to describe a simple but effective surgical technique performed on a patient with an extrusion of part of the body of a PAUL drainage implant for glaucoma. We present the case of a patient with refractory glaucoma and a history of multiple ocular interventions. A PAUL shunt was implanted and in the early postoperative period the patient presented extrusion of part of the implant body. An excessive scarring tissue at the lateral rectus muscle tendon hampered the placement of the lateral wing under the muscle; therefore, we decided to trim a part of it and suture the implant body to the sclera. The surgical technique that satisfactorily resolved the complication is described and shown in a video. This is the first time that such complication is described with the PAUL implant. We suggest that the intrinsic characteristics of the implant, mainly the dimensions, material, and thickness, made it possible for a potentially serious complication such as that described to be solved in a relatively simple and nontraumatic way for the eye. |
| first_indexed | 2024-04-11T11:14:55Z |
| format | Article |
| id | doaj.art-4ddfcafe1bbb470b93d6cfc2cd155836 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-04-11T11:14:55Z |
| publishDate | 2022-08-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-4ddfcafe1bbb470b93d6cfc2cd1558362022-12-22T04:27:16ZengKarger PublishersCase Reports in Ophthalmology1663-26992022-08-0113267167710.1159/000525985525985Surgical Repair of the Extrusion of the Body of a PAUL Implant for GlaucomaElena Milla0https://orcid.org/0000-0002-5171-165XJordi Izquierdo1https://orcid.org/0000-0001-9441-8800Bernardo Sanchez Dalmau2Glaucoma Unit, Hospital Clinic, Barcelona University, Barcelona, SpainGlaucoma Unit, Hospital Clinic, Barcelona University, Barcelona, SpainNeuro Ophthalmology Unit, Hospital Clinic, Barcelona, SpainThe purpose of our article was to describe a simple but effective surgical technique performed on a patient with an extrusion of part of the body of a PAUL drainage implant for glaucoma. We present the case of a patient with refractory glaucoma and a history of multiple ocular interventions. A PAUL shunt was implanted and in the early postoperative period the patient presented extrusion of part of the implant body. An excessive scarring tissue at the lateral rectus muscle tendon hampered the placement of the lateral wing under the muscle; therefore, we decided to trim a part of it and suture the implant body to the sclera. The surgical technique that satisfactorily resolved the complication is described and shown in a video. This is the first time that such complication is described with the PAUL implant. We suggest that the intrinsic characteristics of the implant, mainly the dimensions, material, and thickness, made it possible for a potentially serious complication such as that described to be solved in a relatively simple and nontraumatic way for the eye.https://beta.karger.com/Article/FullText/525985glaucoma surgeryglaucoma paul implantextrusioncase report |
| spellingShingle | Elena Milla Jordi Izquierdo Bernardo Sanchez Dalmau Surgical Repair of the Extrusion of the Body of a PAUL Implant for Glaucoma Case Reports in Ophthalmology glaucoma surgery glaucoma paul implant extrusion case report |
| title | Surgical Repair of the Extrusion of the Body of a PAUL Implant for Glaucoma |
| title_full | Surgical Repair of the Extrusion of the Body of a PAUL Implant for Glaucoma |
| title_fullStr | Surgical Repair of the Extrusion of the Body of a PAUL Implant for Glaucoma |
| title_full_unstemmed | Surgical Repair of the Extrusion of the Body of a PAUL Implant for Glaucoma |
| title_short | Surgical Repair of the Extrusion of the Body of a PAUL Implant for Glaucoma |
| title_sort | surgical repair of the extrusion of the body of a paul implant for glaucoma |
| topic | glaucoma surgery glaucoma paul implant extrusion case report |
| url | https://beta.karger.com/Article/FullText/525985 |
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