학술논문

Polypropylene suture-guided valve tube for posterior chamber implantation in patients with pseudophakic glaucoma
Document Type
Academic Journal
Source
Journal of Cataract & Refractive Surgery. Nov, 2008, Vol. 34 Issue 11, p1828, 4 p.
Subject
Glaucoma -- Care and treatment
Ophthalmology
Tunnels
Polypropylene
Language
English
ISSN
0886-3350
Abstract
To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.jcrs.2008.05.063 Byline: Javier Moreno-MontaA[+ or -]es, Francisco Fantes, Pio Garcia-Gomez Abstract: We describe a new surgical procedure for implanting a glaucoma drainage tube in the posterior chamber. A needle with a 10-0 polypropylene suture is introduced into the posterior chamber, and a 23-gauge needle is also introduced as the barrel on the polypropylene needle tip. After the 23-gauge needle is withdrawn from the posterior chamber, the polypropylene needle tip is pulled and the suture crosses the anterior and posterior chambers. A sliding knot is made around the drainage tube. The tube is pushed into the scleral tunnel and posterior chamber as the suture is pulled to position the tube. The knot is loosened and the suture removed from the eye by pulling from either side. This procedure is easy and effective for implanting a tube in the posterior chamber in pseudophakic eyes and is indicated after penetrating keratoplasty or in eyes with compromised endothelial function. Author Affiliation: From the Department of Ophthalmology (Moreno-MontaA[+ or -]es, Garcia-Gomez), Clinica Universitaria de Navarra, Facultad de Medicina, Universidad de Navarra, Pamplona, Spain; Bascom Palmer Eye Institute (Fantes), University of Miami, Miller School of Medicine, Miami, Florida, USA Article History: Accepted 13 May 2008 Article Note: (footnote) No author has a financial or proprietary interest in any material or method mentioned., Dr. Jose I. Belda provided comments about the surgical procedure. Roman Ferrero supplied the drawings.