Transcameral suture to prevent tube-corneal touch after glaucoma drainage device implantation: a new surgical technique

J Glaucoma. 2009 Oct-Nov;18(8):576-7. doi: 10.1097/IJG.0b013e3181911284.

Abstract

Purpose: To report a new technique to correct tube position in anterior chamber after glaucoma drainage device implantation.

Patient and methods: A patient who underwent a glaucoma drainage device implantation was noted to have the tube touching the corneal endothelium. A 10/0 polypropylene suture with double-armed 3-inch long straight needle was placed transcamerally from limbus to limbus, in the superior part of the eye, passing the needle in front of the tube.

Results: The position of the tube in the anterior chamber was corrected with optimal distance from corneal endothelium and iris surface. The position remained satisfactory after 20 months of follow-up.

Conclusions: The placement of a transcameral suture offers a safe, quick, and minimal invasive intervention for the correction of the position of a glaucoma drainage device tube in the anterior chamber.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anterior Chamber / surgery
  • Astigmatism / complications
  • Astigmatism / physiopathology
  • Endothelium, Corneal
  • Female
  • Follow-Up Studies
  • Glaucoma / complications
  • Glaucoma / physiopathology
  • Glaucoma / surgery*
  • Glaucoma Drainage Implants* / adverse effects
  • Humans
  • Intraocular Pressure
  • Ophthalmologic Surgical Procedures*
  • Postoperative Period
  • Prosthesis Implantation / adverse effects
  • Prosthesis Implantation / methods*
  • Severity of Illness Index
  • Suture Techniques*
  • Treatment Outcome