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Internal Tube Occlusion with An Easily Removable Non-Absorbable Double Suture: A Novel Surgical Technique Adjunct for Non-Valved Glaucoma Drainage Devices

Authors :
Alfonso Savastano
Gloria Gambini
Maria Cristina Savastano
Matteo Mario CarlĂ 
Clara Rizzo
Tomaso Caporossi
Emanuele Crincoli
Stanislao Rizzo
Source :
Vision, Vol 7, Iss 1, p 14 (2023)
Publication Year :
2023
Publisher :
MDPI AG, 2023.

Abstract

To describe a surgical variant for non-valved glaucoma drainage device implants using an easily removable non-absorbable double suture into the lumen of the tube. A retrospective, non-comparative case series of 10 patients who underwent a non-valved glaucoma drainage device implant with an endoluminal double-suture for refractory glaucoma. The sutures were easily removed postoperatively without the need for an operating room. Intraocular pressure, number of medications, and early and late complications were evaluated with a follow-up of 12 months. None of the eyes that underwent an operation developed early or late complications. The first endoluminal suture was removed in all eyes with a mean time of removal of 30 ± 7 days. The second suture was removed in all eyes with a mean time of removal of 90 ± 7 days. No complications were noted, either, after or during suture removal. The mean preoperative IOP was 27.3 ± 4.0 and the postoperative IOP, at the end of the follow-up, was 12.7 ± 1.4. At the end of the follow-up, six patients (60%) achieved complete success and four patients (40%) achieved qualified success. In conclusion, in our case series, the surgical variant allowed for a safe and gradual regulation of the flow during postoperative management. Considering the efficacy of non-valved glaucoma drainage devices, an improvement in the safety profile allows surgeons to broaden the surgical indications.

Details

Language :
English
ISSN :
24115150
Volume :
7
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Vision
Publication Type :
Academic Journal
Accession number :
edsdoj.43383d840107409ba595f181290392b4
Document Type :
article
Full Text :
https://doi.org/10.3390/vision7010014