Ab interno suture tube occlusion of the Baerveldt glaucoma implant for management of postoperative hypotony: A case series
Purpose: Delayed hypotony can be a vision threatening complication following aqueous shunt surgery in patients with glaucoma. Multiple medical and surgical management strategies have been utilized, but results have been inconsistent. The present case series describes management of delayed hypotony a...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993620301031 |
| _version_ | 1818156937227796480 |
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| author | André S. Pollmann Amit V. Mishra Maria Gabriela Campos-Baniak R. Rishi Gupta Brennan D. Eadie |
| author_facet | André S. Pollmann Amit V. Mishra Maria Gabriela Campos-Baniak R. Rishi Gupta Brennan D. Eadie |
| author_sort | André S. Pollmann |
| collection | DOAJ |
| description | Purpose: Delayed hypotony can be a vision threatening complication following aqueous shunt surgery in patients with glaucoma. Multiple medical and surgical management strategies have been utilized, but results have been inconsistent. The present case series describes management of delayed hypotony associated with the Baerveldt glaucoma implant (BGI) by surgically introducing 4-0 polypropylene suture into the tube lumen. Observations: The cases of four patients who presented with hypotony following BGI surgery were reviewed. Following BGI tube lumen occlusion with suture, sustained intraocular pressure increase (mean 7.25 mmHg, range 4–14) was noted in all patients and visual acuity improved in three cases. Conclusions and importance: This is the first report of ab interno suture occlusion of the BGI for management of post-operative hypotony. Further studies are required to determine the utility of this procedure, but our results suggest that in select patients, ab interno suture occlusion be advantageous in managing delayed hypotony refractive to medical therapy. |
| first_indexed | 2024-12-11T15:06:14Z |
| format | Article |
| id | doaj.art-4e1af521929d4aad97685b6fd61bda57 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-11T15:06:14Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-4e1af521929d4aad97685b6fd61bda572022-12-22T01:00:54ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-09-0119100752Ab interno suture tube occlusion of the Baerveldt glaucoma implant for management of postoperative hypotony: A case seriesAndré S. Pollmann0Amit V. Mishra1Maria Gabriela Campos-Baniak2R. Rishi Gupta3Brennan D. Eadie4Corresponding author. Department of Ophthalmology & Visual Sciences, Dalhousie University, 1276 South Park Street, Room 2035D, 2 West Victoria Building, Halifax, Nova Scotia, B3H 2Y9, Canada.; Department of Ophthalmology and Visual Sciences, Dalhousie University, 1276 South Park, Street, Room 2035D, 2 West Victoria Building, Halifax, Nova Scotia, B3H 2Y9, CanadaDepartment of Ophthalmology and Visual Sciences, Dalhousie University, 1276 South Park, Street, Room 2035D, 2 West Victoria Building, Halifax, Nova Scotia, B3H 2Y9, CanadaDepartment of Ophthalmology and Visual Sciences, Dalhousie University, 1276 South Park, Street, Room 2035D, 2 West Victoria Building, Halifax, Nova Scotia, B3H 2Y9, CanadaDepartment of Ophthalmology and Visual Sciences, Dalhousie University, 1276 South Park, Street, Room 2035D, 2 West Victoria Building, Halifax, Nova Scotia, B3H 2Y9, CanadaDepartment of Ophthalmology and Visual Sciences, Dalhousie University, 1276 South Park, Street, Room 2035D, 2 West Victoria Building, Halifax, Nova Scotia, B3H 2Y9, CanadaPurpose: Delayed hypotony can be a vision threatening complication following aqueous shunt surgery in patients with glaucoma. Multiple medical and surgical management strategies have been utilized, but results have been inconsistent. The present case series describes management of delayed hypotony associated with the Baerveldt glaucoma implant (BGI) by surgically introducing 4-0 polypropylene suture into the tube lumen. Observations: The cases of four patients who presented with hypotony following BGI surgery were reviewed. Following BGI tube lumen occlusion with suture, sustained intraocular pressure increase (mean 7.25 mmHg, range 4–14) was noted in all patients and visual acuity improved in three cases. Conclusions and importance: This is the first report of ab interno suture occlusion of the BGI for management of post-operative hypotony. Further studies are required to determine the utility of this procedure, but our results suggest that in select patients, ab interno suture occlusion be advantageous in managing delayed hypotony refractive to medical therapy.http://www.sciencedirect.com/science/article/pii/S2451993620301031Aqueous shuntBaerveldt glaucoma implantGlaucomaHypotony |
| spellingShingle | André S. Pollmann Amit V. Mishra Maria Gabriela Campos-Baniak R. Rishi Gupta Brennan D. Eadie Ab interno suture tube occlusion of the Baerveldt glaucoma implant for management of postoperative hypotony: A case series American Journal of Ophthalmology Case Reports Aqueous shunt Baerveldt glaucoma implant Glaucoma Hypotony |
| title | Ab interno suture tube occlusion of the Baerveldt glaucoma implant for management of postoperative hypotony: A case series |
| title_full | Ab interno suture tube occlusion of the Baerveldt glaucoma implant for management of postoperative hypotony: A case series |
| title_fullStr | Ab interno suture tube occlusion of the Baerveldt glaucoma implant for management of postoperative hypotony: A case series |
| title_full_unstemmed | Ab interno suture tube occlusion of the Baerveldt glaucoma implant for management of postoperative hypotony: A case series |
| title_short | Ab interno suture tube occlusion of the Baerveldt glaucoma implant for management of postoperative hypotony: A case series |
| title_sort | ab interno suture tube occlusion of the baerveldt glaucoma implant for management of postoperative hypotony a case series |
| topic | Aqueous shunt Baerveldt glaucoma implant Glaucoma Hypotony |
| url | http://www.sciencedirect.com/science/article/pii/S2451993620301031 |
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