Conjunctival repair after glaucoma drainage device exposure using collagen-glycosaminoglycane matrices
Abstract Background To report the results of the repair of conjunctival erosions resulting from glaucoma drainage device surgery using collagen-glycosaminoglycane matrices (CGM). Methods Case series of 8 patients who underwent revision surgery due to conjunctival defects with exposed tubes through n...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-02-01
|
| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12886-018-0721-6 |
| _version_ | 1818035378780635136 |
|---|---|
| author | André Rosentreter Alexandra Lappas Randolf Alexander Widder Maged Alnawaiseh Thomas Stefan Dietlein |
| author_facet | André Rosentreter Alexandra Lappas Randolf Alexander Widder Maged Alnawaiseh Thomas Stefan Dietlein |
| author_sort | André Rosentreter |
| collection | DOAJ |
| description | Abstract Background To report the results of the repair of conjunctival erosions resulting from glaucoma drainage device surgery using collagen-glycosaminoglycane matrices (CGM). Methods Case series of 8 patients who underwent revision surgery due to conjunctival defects with exposed tubes through necrosis of the overlying scleral flap and conjunctiva after Baerveldt drainage device surgery. The defects were repaired by lateral displacement of the tube towards the sclera, with a slice of a CGM as a patch, covered by adjacent conjunctiva. Result Successful, lasting closure (follow-up of 12 to 42 months) of the conjunctival defects was achieved without any side-effects or complications in all eight cases. Conclusions Erosion of the drainage tube, creating buttonholes in the conjunctiva after implantation of glaucoma drainage devices, is a potentially serious problem. It can be managed successfully using a biodegradable CGM as a patch. |
| first_indexed | 2024-12-10T06:54:07Z |
| format | Article |
| id | doaj.art-9ff9c61cc3b24f22adeb4447669df49f |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-10T06:54:07Z |
| publishDate | 2018-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-9ff9c61cc3b24f22adeb4447669df49f2022-12-22T01:58:29ZengBMCBMC Ophthalmology1471-24152018-02-011811510.1186/s12886-018-0721-6Conjunctival repair after glaucoma drainage device exposure using collagen-glycosaminoglycane matricesAndré Rosentreter0Alexandra Lappas1Randolf Alexander Widder2Maged Alnawaiseh3Thomas Stefan Dietlein4Department of Ophthalmology, University of WürzburgCenter of Ophthalmology, University of CologneDepartment of Ophthalmology, St. Martinus-Krankenhaus DüsseldorfDepartment Of Ophthalmology, University of Muenster Medical CenterCenter of Ophthalmology, University of CologneAbstract Background To report the results of the repair of conjunctival erosions resulting from glaucoma drainage device surgery using collagen-glycosaminoglycane matrices (CGM). Methods Case series of 8 patients who underwent revision surgery due to conjunctival defects with exposed tubes through necrosis of the overlying scleral flap and conjunctiva after Baerveldt drainage device surgery. The defects were repaired by lateral displacement of the tube towards the sclera, with a slice of a CGM as a patch, covered by adjacent conjunctiva. Result Successful, lasting closure (follow-up of 12 to 42 months) of the conjunctival defects was achieved without any side-effects or complications in all eight cases. Conclusions Erosion of the drainage tube, creating buttonholes in the conjunctiva after implantation of glaucoma drainage devices, is a potentially serious problem. It can be managed successfully using a biodegradable CGM as a patch.http://link.springer.com/article/10.1186/s12886-018-0721-6Episcleral drainage deviceBaerveldtAhmedCollagen-glycosaminoglycane matrix (CGM)Drainage tubeConjunctival defect |
| spellingShingle | André Rosentreter Alexandra Lappas Randolf Alexander Widder Maged Alnawaiseh Thomas Stefan Dietlein Conjunctival repair after glaucoma drainage device exposure using collagen-glycosaminoglycane matrices BMC Ophthalmology Episcleral drainage device Baerveldt Ahmed Collagen-glycosaminoglycane matrix (CGM) Drainage tube Conjunctival defect |
| title | Conjunctival repair after glaucoma drainage device exposure using collagen-glycosaminoglycane matrices |
| title_full | Conjunctival repair after glaucoma drainage device exposure using collagen-glycosaminoglycane matrices |
| title_fullStr | Conjunctival repair after glaucoma drainage device exposure using collagen-glycosaminoglycane matrices |
| title_full_unstemmed | Conjunctival repair after glaucoma drainage device exposure using collagen-glycosaminoglycane matrices |
| title_short | Conjunctival repair after glaucoma drainage device exposure using collagen-glycosaminoglycane matrices |
| title_sort | conjunctival repair after glaucoma drainage device exposure using collagen glycosaminoglycane matrices |
| topic | Episcleral drainage device Baerveldt Ahmed Collagen-glycosaminoglycane matrix (CGM) Drainage tube Conjunctival defect |
| url | http://link.springer.com/article/10.1186/s12886-018-0721-6 |
| work_keys_str_mv | AT andrerosentreter conjunctivalrepairafterglaucomadrainagedeviceexposureusingcollagenglycosaminoglycanematrices AT alexandralappas conjunctivalrepairafterglaucomadrainagedeviceexposureusingcollagenglycosaminoglycanematrices AT randolfalexanderwidder conjunctivalrepairafterglaucomadrainagedeviceexposureusingcollagenglycosaminoglycanematrices AT magedalnawaiseh conjunctivalrepairafterglaucomadrainagedeviceexposureusingcollagenglycosaminoglycanematrices AT thomasstefandietlein conjunctivalrepairafterglaucomadrainagedeviceexposureusingcollagenglycosaminoglycanematrices |