Surgical treatment of strabismus secondary to glaucoma drainage device

Archives of Ophthalmology
Alejandra RoizenArthur L Rosenbaum

Abstract

To describe surgical strategies in a series of patients with diplopia following implantation of a glaucoma drainage device. Retrospective review of 9 consecutive patients who underwent strabismus surgery because of strabismus and diplopia after implantation of a glaucoma drainage device. Seven patients with marked limitation to ocular rotations and incomitant strabismus underwent surgery on the eye with the implant. Two patients with mild limitation to ocular rotations of the involved eye underwent surgery on the contralateral eye. All patients had a large fibrous capsule surrounding the implant plate, adjacent muscles, and sclera. Intraocular pressure was not elevated postoperatively. Postoperative diplopia in the primary position was eliminated in 5 patients and markedly improved in 3 patients. Strabismus following implantation of a glaucoma drainage device is an uncommon but serious complication. Restoration of ocular alignment is a complex undertaking requiring strabismus and glaucoma surgical expertise. Multiple surgical complications may occur. Surgical intervention may require complete removal of the fibrous capsule surrounding the implant and involved adjacent structures. Size reduction of the implant plate is helpful a...Continue Reading

Citations

Mar 8, 2014·International Ophthalmology·Julio González-Martín-MoroRoberto García-Leal
Aug 7, 2008·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·T S DietleinG K Krieglstein
Apr 30, 2013·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Amany AbdelazizRichard K Parrish
Oct 18, 2014·Seminars in Ophthalmology·Michael Giovingo
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Feb 26, 2009·Current Opinion in Ophthalmology
Aug 11, 2020·Case Reports in Ophthalmology·Mai Ueda MorinoAkitaka Tsujikawa

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