Document Detail

Revision for exposed anterior segment tubes.
MedLine Citation:
PMID:  20075671     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To discuss the clinical problem of exposed anterior segment tubes, to review the literature on revision surgery, and to present my method of revision for tube exposure. METHODS: Review of the pertinent literature and tabulation of complications from the author's cases of revision surgery. RESULTS: The risk of endophthalmitis requires that all cases of exposed anterior segment tube undergo revision with a patch graft. Simple conjunctival closure is inadequate. A patch graft of collagenous human autograft or allograft material is necessary to prepare the eye for complete healing and resolution of the exposure. Methods of revision from the literature are reviewed and presented, along with the author's method of revision. Complications, reported and potential, are discussed. CONCLUSIONS: All exposed anterior segment tubes should be revised with patch graft to resolve the exposure and avoid endophthalmitis. Several methods of revision are available, and the rate of complications is low.
Jeffrey W Kalenak
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of glaucoma     Volume:  19     ISSN:  1536-481X     ISO Abbreviation:  J. Glaucoma     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-15     Completed Date:  2010-03-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9300903     Medline TA:  J Glaucoma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  5-10     Citation Subset:  IM    
Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI, USA.
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MeSH Terms
Anterior Eye Segment / pathology,  surgery*
Aqueous Humor / secretion
Conjunctival Diseases / etiology,  surgery*
Foreign-Body Migration / etiology,  surgery*
Glaucoma Drainage Implants*
Intraoperative Complications
Ophthalmologic Surgical Procedures*
Postoperative Complications

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