Graft-free Ahmed tube insertion: a modified method at 5 mm from limbus
Juan Carlos Mesa-Gutiérrez, Juan Lillo-Sopena, Anna Monés-Llivina, Silvia Sanz-Moreno, Jorge Arruga-GinebredaDepartment of Ophthalmology, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, SpainObjective: To determine the medium-term...
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Dove Medical Press
2010
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oai:doaj.org-article:2f4cde65ffea4c0fa190ddac31beb11d2021-12-02T02:13:49ZGraft-free Ahmed tube insertion: a modified method at 5 mm from limbus1177-54671177-5483https://doaj.org/article/2f4cde65ffea4c0fa190ddac31beb11d2010-04-01T00:00:00Zhttp://www.dovepress.com/graft-free-ahmed-tube-insertion-a-modified-method-at-5-mm-from-limbus-a4276https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Juan Carlos Mesa-Gutiérrez, Juan Lillo-Sopena, Anna Monés-Llivina, Silvia Sanz-Moreno, Jorge Arruga-GinebredaDepartment of Ophthalmology, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, SpainObjective: To determine the medium-term outcome of Ahmed implants inserted through a needle tract at 5 mm from limbus that eliminates the need for a donor scleral graft.Methods: A retrospective case series of 19 patients undergoing Ahmed implant surgery for refractory glaucoma with a mean follow-up of 12 months. Primary outcome measures included control of intraocular pressure after surgery. Secondary outcome measure included the frequency of intraoperative and postoperative complications.Results: Intraocular pressure was maintained between 6 and 21 mmHg throughout the study. There was no postoperative hypotony. There were no complications related to this modified technique.Conclusion: Needle tract at 5 mm from limbus maintains implant’s ability to control intraocular pressure and eliminates the need for a donor scleral graft or heterologous material.Keywords: surgical technique, Ahmed implant, refractory glaucoma, donor scleral graft, tube shunt device Juan Carlos Mesa-GutiérrezJuan Lillo-SopenaAnna Monés-Llivinaet alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 359-363 (2010) |
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Ophthalmology RE1-994 |
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Ophthalmology RE1-994 Juan Carlos Mesa-Gutiérrez Juan Lillo-Sopena Anna Monés-Llivina et al Graft-free Ahmed tube insertion: a modified method at 5 mm from limbus |
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Juan Carlos Mesa-Gutiérrez, Juan Lillo-Sopena, Anna Monés-Llivina, Silvia Sanz-Moreno, Jorge Arruga-GinebredaDepartment of Ophthalmology, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, SpainObjective: To determine the medium-term outcome of Ahmed implants inserted through a needle tract at 5 mm from limbus that eliminates the need for a donor scleral graft.Methods: A retrospective case series of 19 patients undergoing Ahmed implant surgery for refractory glaucoma with a mean follow-up of 12 months. Primary outcome measures included control of intraocular pressure after surgery. Secondary outcome measure included the frequency of intraoperative and postoperative complications.Results: Intraocular pressure was maintained between 6 and 21 mmHg throughout the study. There was no postoperative hypotony. There were no complications related to this modified technique.Conclusion: Needle tract at 5 mm from limbus maintains implant’s ability to control intraocular pressure and eliminates the need for a donor scleral graft or heterologous material.Keywords: surgical technique, Ahmed implant, refractory glaucoma, donor scleral graft, tube shunt device |
format |
article |
author |
Juan Carlos Mesa-Gutiérrez Juan Lillo-Sopena Anna Monés-Llivina et al |
author_facet |
Juan Carlos Mesa-Gutiérrez Juan Lillo-Sopena Anna Monés-Llivina et al |
author_sort |
Juan Carlos Mesa-Gutiérrez |
title |
Graft-free Ahmed tube insertion: a modified method at 5 mm from limbus |
title_short |
Graft-free Ahmed tube insertion: a modified method at 5 mm from limbus |
title_full |
Graft-free Ahmed tube insertion: a modified method at 5 mm from limbus |
title_fullStr |
Graft-free Ahmed tube insertion: a modified method at 5 mm from limbus |
title_full_unstemmed |
Graft-free Ahmed tube insertion: a modified method at 5 mm from limbus |
title_sort |
graft-free ahmed tube insertion: a modified method at 5 mm from limbus |
publisher |
Dove Medical Press |
publishDate |
2010 |
url |
https://doaj.org/article/2f4cde65ffea4c0fa190ddac31beb11d |
work_keys_str_mv |
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_version_ |
1718402583669768192 |