Repositioning of Ahmed glaucoma valve tube in the anterior chamber with prolene sutures to manage tube-endothelial touch

Authors

  • T Dada Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
  • R Gupta Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
  • S I Tinwala Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
  • A Sobti Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi
  • A Panda Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi

DOI:

https://doi.org/10.3126/nepjoph.v4i2.6549

Keywords:

Ahmed glaucoma valve, endothelial damage, prolene suture

Abstract

Background: Corneal endothelial damage is a known complication of aqueous shunt surgery.

Objective: To describe a new technique for repositioning the Ahmed glaucoma valve tube in a case of tube-endothelial touch.

Case: A patient with advanced glaucoma, having undergone Ahmed glaucoma valve (AVG) implantation, developed localized corneal endothelial damage due to contact between the tube and superior corneal endothelium. Two 10-0 prolene anchor sutures were passed over the tube in the anterior chamber, repositioning it away from the endothelium, thus preventing further damage to the corneal endothelium. Resolution of corneal oedema was noted without affecting the tube drainage and intraocular pressure.

Conclusion: Intracameral repositioning of the shunt tube using prolene sutures is a useful technique for correcting the tube malposition.

DOI: http://dx.doi.org/10.3126/nepjoph.v4i2.6549

Nepal J Ophthalmol 2012; 4 (2): 309-411

 

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Published

2012-07-26

How to Cite

Dada, T., Gupta, R., Tinwala, S. I., Sobti, A., & Panda, A. (2012). Repositioning of Ahmed glaucoma valve tube in the anterior chamber with prolene sutures to manage tube-endothelial touch. Nepalese Journal of Ophthalmology, 4(2), 309–311. https://doi.org/10.3126/nepjoph.v4i2.6549

Issue

Vol. 4 No. 2 (2012)

Section

Case Reports

License

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