Persistent leak after glaucoma aqueous shunt implantation

Journal of Glaucoma
Marie-Claude RobertMark R Lesk

Abstract

To present 4 cases of persistent leak attributed to subconjunctival fistula formation after glaucoma aqueous shunt implantation. Our preferred method for management is also described. Retrospective noncomparative case series. Four cases of persistent leak after glaucoma aqueous shunt surgery are described. Three patients had an underlying diagnosis of iridocorneal endothelial syndrome and 1 patient had a diagnosis of chronic panuveitis. Three patients had prior trabeculectomy with adjunctive periocular application of antiproliferative agents (mitomycin C and/or 5-fluorouracil). One patient had aqueous shunt implantation as a primary glaucoma procedure. Implantation of the Molteno (1 patient), Ahmed (2 patients), and Baerveldt (1 patient) aqueous shunts was uneventful in all cases. Early onset of the leak, between postoperative months 1 and 2, was typical. The use of aqueous suppressants, bandage contact lens, conjunctival photocoagulation, sutures, tissue adhesives, conjunctival autografts, and scleral patch grafts were unsuccessful in the described cases. Resolution of the leak occurred after removal of the aqueous shunt and elimination of the causative subconjunctival fistula. Histologic support for fistulization was obtained...Continue Reading

References

Mar 1, 1992·Archives of Ophthalmology·H C LaganowskiR A Hitchings
Feb 1, 1988·Archives of Ophthalmology·M KiddS Magee
Feb 26, 2008·International Ophthalmology·Qi-Hua LeJian-Jiang Xu
Feb 26, 2009·Current Opinion in Ophthalmology·Steven R Sarkisian
Feb 26, 2009·Current Opinion in Ophthalmology·Scott Hau, Keith Barton
Aug 15, 2009·Journal of Glaucoma·Michael SmithGraham E Trope
Dec 31, 2009·Current Opinion in Ophthalmology·Steven J GeddeUNKNOWN Tube Versus Trabeculectomy Study Group

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Citations

Oct 25, 2017·International Ophthalmology·Dimitrios BrouzasMarilita M Moschos
Oct 17, 2018·Translational Vision Science & Technology·Nicolas Alejandre-AlbaSusana Marcos
Sep 1, 2012·Journal of Current Glaucoma Practice·Stirbu Oana, Jorge Vila

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