| Extension of retracted glaucoma drainage tube using a 22-gauge intravenous catheter in complex pediatric glaucoma. | |
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MedLine Citation:
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PMID: 19661827 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe the use of the readily available, sterile, and economical 22-gauge intravenous catheter (Venflon) as a preferable option for extending the tube of glaucoma drainage devices in cases of tube retraction in complex pediatric cases. METHODS: A report of noncomparative retrospective evaluation of 2 pediatric cases with tube retraction treated with the extension of the tube. The tube of the drainage devices (1 Baerveldt and 1 Molteno) was extended using a segment of a 22-gauge intravenous catheter (Venflon). The available follow-up for both the cases is 8.5 months. RESULTS: In both cases an adequate length of the tube was obtained in the anterior chamber. In the first case an excellent drainage bleb formed over the plate and the intraocular pressure (IOP) reduced from 28 to 11 mm Hg. In the second case only a 25% reduction of IOP (from 40 to 30 mm Hg) and a shallow bleb was seen for a few weeks only as extensive fibrosis over the plate limited the drainage. There has been no displacement of the tube in the follow-up period. CONCLUSIONS: The readily available, sterile, and economical 22-gauge intravenous catheter (venflon) segment is a structurally and functionally appropriate, and cost effective option for extension of both Baerveldt and Molteno drainage implants in complex pediatric cases. However other factors limiting drainage from tube, such as extensive scarring over the plate may limit the reduction of IOP. |
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Authors:
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Atul Bansal; Cecilia H Fenerty |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of glaucoma Volume: 19 ISSN: 1536-481X ISO Abbreviation: J. Glaucoma Publication Date: 2010 Apr-May |
Date Detail:
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Created Date: 2010-04-15 Completed Date: 2010-07-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9300903 Medline TA: J Glaucoma Country: United States |
Other Details:
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Languages: eng Pagination: 248-51 Citation Subset: IM |
Affiliation:
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Manchester Royal Eye Hospital, Oxford Road, Manchester, United Kingdom. bansalatul@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Catheterization Child Follow-Up Studies Glaucoma / physiopathology, surgery* Glaucoma Drainage Implants* Humans Infant Intraocular Pressure Male Reoperation / instrumentation Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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