Universität zu Köln

Dietlein, T. S., Neugebauer, A., Fricke, J., Lappas, A. and Rosentreter, A. (2016). Postoperative Follow-Up of Glaucoma Drainage Devices. Klinische Monatsblat. Augenheilkunde, 233 (5). S. 606 - 613. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3999

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Abstract

There is an increasing trend towards using glaucoma drainage implants. The postoperative management of such devices depends on their technical characteristics and specific complications. The Baerveldt glaucoma implant with its larger surface area has been shown to lower mean intraocular pressure more effectively than the Ahmed-FP7 implant. As a non-valve implant, however, it has been associated with a higher rate of severe complications, particularly ocular hypotension. Moreover, glaucoma implants may induce diplopia if they interfere with extraocular muscles. Topical treatment with antibiotics and steroids is necessary in cases of intraocular inflammation. In refractory cases, the tube may even have to be removed. Surgical reposition of the tube may be indicated when it is severely dislocated. Increased intraocular pressure is primarily treated by pressure-lowering medications during postoperative follow-up. If topical glaucoma medication is insufficient to control increases in intraocular pressure due to encapsulation, a second implant may be considered or the capsule surrounding the implant may be excised to reduce outflow resistance or additional cyclodestructive procedures can be performed. Chronic hypotension may be treated with tube ligation or occlusion. Severe corneal oedema may require lamellar keratoplasty. Conjunctival erosions with tube exposure or tube retractions also require surgical correction.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Dietlein, T. S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Neugebauer, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fricke, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lappas, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rosentreter, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-276653
DOI:	10.1055/s-0042-100210
Journal or Publication Title:	Klinische Monatsblat. Augenheilkunde
Volume:	233
Number:	5
Page Range:	S. 606 - 613
Date:	2016
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-3999
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language IMPLANT-SURGERY; TREATMENT OUTCOMES; TUBE; BAERVELDT; COMPLICATIONS; TRABECULECTOMY; PREVENTION; REVISION; HYPOTONY; SHUNTS Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27665