Aurolab aqueous drainage implant in the vitreous cavity: Our modifications over the conventional technique of glaucoma implant surgery
Glaucoma drainage devices (GDDs) are used for managing refractory glaucoma due to failed trabeculectomy, neovascular glaucoma, traumatic glaucoma, and secondary glaucoma post keratoplasty. Aurolab aqueous drainage implant (AADI) is a nonvalved drainage implant conventionally implanted with the tube...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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Series: | Indian Journal of Ophthalmology |
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Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1950;epage=1952;aulast=Shah |
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author | Vinit J Shah Syed Mohideen Abdul Khadar Y C Venugopal Reddy Syed Saifuddin Adeel Mohideen Abdul Kader Rengappa Ramakrishnan Shobita Nair |
author_facet | Vinit J Shah Syed Mohideen Abdul Khadar Y C Venugopal Reddy Syed Saifuddin Adeel Mohideen Abdul Kader Rengappa Ramakrishnan Shobita Nair |
author_sort | Vinit J Shah |
collection | DOAJ |
description | Glaucoma drainage devices (GDDs) are used for managing refractory glaucoma due to failed trabeculectomy, neovascular glaucoma, traumatic glaucoma, and secondary glaucoma post keratoplasty. Aurolab aqueous drainage implant (AADI) is a nonvalved drainage implant conventionally implanted with the tube placed in the anterior chamber. Studies about the outcome of the various aqueous drainage devices implanted in the anterior chamber have reported complications such as tube extrusion, migration, blockage, erosion, and corneal decompensation. We propose modifying the conventional GDD implantation technique by placing the tube in the vitreous cavity, thereby negating the risk of anterior segment complications in patients with refractory glaucoma whose anterior segment is already compromised. Another novel approach implemented in this technique was making a scleral tunnel instead of using a scleral or corneal patch graft to cover the tube to prevent its migration. This article describes the surgical steps of this technique and its advantages, along with a surgical video. |
first_indexed | 2024-12-21T21:25:22Z |
format | Article |
id | doaj.art-f98cfd552c234f64a82e3578c330013d |
institution | Directory Open Access Journal |
issn | 0301-4738 1998-3689 |
language | English |
last_indexed | 2024-12-21T21:25:22Z |
publishDate | 2021-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Ophthalmology |
spelling | doaj.art-f98cfd552c234f64a82e3578c330013d2022-12-21T18:49:47ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892021-01-016971950195210.4103/ijo.IJO_3348_20Aurolab aqueous drainage implant in the vitreous cavity: Our modifications over the conventional technique of glaucoma implant surgeryVinit J ShahSyed Mohideen Abdul KhadarY C Venugopal ReddySyed Saifuddin AdeelMohideen Abdul KaderRengappa RamakrishnanShobita NairGlaucoma drainage devices (GDDs) are used for managing refractory glaucoma due to failed trabeculectomy, neovascular glaucoma, traumatic glaucoma, and secondary glaucoma post keratoplasty. Aurolab aqueous drainage implant (AADI) is a nonvalved drainage implant conventionally implanted with the tube placed in the anterior chamber. Studies about the outcome of the various aqueous drainage devices implanted in the anterior chamber have reported complications such as tube extrusion, migration, blockage, erosion, and corneal decompensation. We propose modifying the conventional GDD implantation technique by placing the tube in the vitreous cavity, thereby negating the risk of anterior segment complications in patients with refractory glaucoma whose anterior segment is already compromised. Another novel approach implemented in this technique was making a scleral tunnel instead of using a scleral or corneal patch graft to cover the tube to prevent its migration. This article describes the surgical steps of this technique and its advantages, along with a surgical video.http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1950;epage=1952;aulast=Shahrefractory glaucomaaurolab aqueous drainage devicevitreous cavityanterior chambersurgical techniqueintraocular pressure |
spellingShingle | Vinit J Shah Syed Mohideen Abdul Khadar Y C Venugopal Reddy Syed Saifuddin Adeel Mohideen Abdul Kader Rengappa Ramakrishnan Shobita Nair Aurolab aqueous drainage implant in the vitreous cavity: Our modifications over the conventional technique of glaucoma implant surgery Indian Journal of Ophthalmology refractory glaucoma aurolab aqueous drainage device vitreous cavity anterior chamber surgical technique intraocular pressure |
title | Aurolab aqueous drainage implant in the vitreous cavity: Our modifications over the conventional technique of glaucoma implant surgery |
title_full | Aurolab aqueous drainage implant in the vitreous cavity: Our modifications over the conventional technique of glaucoma implant surgery |
title_fullStr | Aurolab aqueous drainage implant in the vitreous cavity: Our modifications over the conventional technique of glaucoma implant surgery |
title_full_unstemmed | Aurolab aqueous drainage implant in the vitreous cavity: Our modifications over the conventional technique of glaucoma implant surgery |
title_short | Aurolab aqueous drainage implant in the vitreous cavity: Our modifications over the conventional technique of glaucoma implant surgery |
title_sort | aurolab aqueous drainage implant in the vitreous cavity our modifications over the conventional technique of glaucoma implant surgery |
topic | refractory glaucoma aurolab aqueous drainage device vitreous cavity anterior chamber surgical technique intraocular pressure |
url | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=7;spage=1950;epage=1952;aulast=Shah |
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