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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Main Authors: Vinit J Shah, Syed Mohideen Abdul Khadar, Y C Venugopal Reddy, Syed Saifuddin Adeel, Mohideen Abdul Kader, Rengappa Ramakrishnan, Shobita Nair
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Ophthalmology
Subjects:
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.
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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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