Document Detail

Management of Endothelial Decompensation Because of Glaucoma Shunt Tube Touch by Descemet Membrane Endothelial Keratoplasty and Tube Revision.
MedLine Citation:
PMID:  21242787     Owner:  NLM     Status:  Publisher    
PURPOSE:: To describe the trimming of a glaucoma shunt tube with Descemet membrane endothelial keratoplasty (DMEK) for the treatment of endothelial decompensation caused by tube-endothelium touch. METHODS:: An 84-year-old man with pseudoexfoliative glaucoma OU had endothelial decompensation because of the touch of the tube of an Ahmed glaucoma valve at the corneal endothelium OS. The best-corrected visual acuity decreased from 20/60 to counting fingers at 3 feet. The patient underwent uncomplicated trimming of the shunt tube and DMEK. RESULTS:: After surgery, the cornea became clear, and the best-corrected visual acuity improved to 20/60. The intraocular pressure remained normal (8-12 mm Hg) without antiglaucoma medications, and endothelial cell count remained stable in a follow-up of 12 months. No complications were encountered. CONCLUSIONS:: Glaucoma shunt tube trimming with DMEK may be considered in cases of endothelial decompensation because of tube-endothelium touch and may replace penetrating keratoplasty and other posterior lamellar procedures for such cases.
Valery Bersudsky; Aaron Treviño; Shimon Rumelt
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-14
Journal Detail:
Title:  Cornea     Volume:  -     ISSN:  1536-4798     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8216186     Medline TA:  Cornea     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
From the Department of Ophthalmology, Western Galilee-Nahariya Medical Center, Nahariya, Israel.
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