New Technique of Exposed Glaucoma Drainage Tube Repair: Report of a Case
العنوان: | New Technique of Exposed Glaucoma Drainage Tube Repair: Report of a Case |
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المؤلفون: | Tamara L. Berezina, David S. Chu, Eliott Kim, Amir Cohen, Robert D. Fechtner |
المصدر: | Journal of Current Glaucoma Practice |
بيانات النشر: | Jaypee Brothers Medical Publishing, 2015. |
سنة النشر: | 2015 |
مصطلحات موضوعية: | medicine.medical_specialty, Conjunctiva, genetic structures, Glaucoma, Case Report, Conjunctiva deficiency, Ophthalmology, Cornea, Corneal patch graft, medicine, Tube (container), Fixation (histology), business.industry, Wound healing, medicine.disease, eye diseases, Sclera, Surgery, medicine.anatomical_structure, Glaucoma drainage device, sense organs, Keratoglobus, business |
الوصف: | We present the case of successful repair of an exposed glaucoma drainage tube by cornea graft fixation with tissue adhesive, and without subsequent coverage by adjacent conjunctiva or donor tissues. Patient with history of keratoglobus with thin cornea and sclera, and phthisical contralateral eye, underwent three unsuccessful corneal grafts followed by Boston type 1 keratoprosthesis in the right eye. Ahmed drainage device with sclera patch graft was implanted to control the intraocular pressure. Two years later the tube eroded through sclera graft and conjunctiva. Repair was performed by covering the tube with a corneal patch graft secured by tissue adhesive after the conjunctiva in this area was dissected away. The cornea graft was left uncovered due to fragility of adjacent conjunctiva. The healing of ocular and graft surfaces was complete prior to the 1 month follow-up. Conjunctival epithelium covered the corneal patch graft. At 12 months follow-up, the graft and the tube remained stable. Our report suggests that corneal patch graft fixation to the sclera by means of tissue adhesive, without closing the conjunctiva, can be considered as an effective alternative surgical approach for managing exposed glaucoma drainage tube, accompanied by adjacent conjunctiva tissue deficiency. How to cite this article: Berezina TL, Fechtner RD, Cohen A, Kim EE, Chu DS. New Technique of Exposed Glaucoma Drainage Tube Repair: Report of a Case. J Curr Glaucoma Pract 2015;9(2):62-64. |
تدمد: | 0975-1947 0974-0333 |
الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::66b47d7ac08e6fcc9cc9d68263f44913Test https://doi.org/10.5005/jp-journals-10008-1185Test |
حقوق: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....66b47d7ac08e6fcc9cc9d68263f44913 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 09751947 09740333 |
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