Use of Gamma-Irradiated Cornea to Plug Sclerostomy Site During Tube Shunt Revision

Semin Ophthalmol. 2017;32(2):182-184. doi: 10.3109/08820538.2015.1045302. Epub 2015 Jul 8.

Abstract

Tube shunt implantation is a common procedure for control of intraocular pressure (IOP). However, tube revision and repositioning must sometimes be performed, and this involves removing the tube from its sclerostomy site. This site is prone to leaking and this may cause postoperative hypotony. We describe a novel and cosmetically acceptable technique of plugging and covering the sclerostomy site with gamma-irradiated corneal tissue.

Keywords: Corneal patch graft; glaucoma drainage device revision; glaucoma surgical techniques; sclerostomy closure; tube complications.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Cornea / radiation effects*
  • Cornea / surgery
  • Corneal Transplantation / methods*
  • Female
  • Gamma Rays / therapeutic use*
  • Glaucoma / physiopathology
  • Glaucoma / surgery*
  • Glaucoma Drainage Implants*
  • Humans
  • Intraocular Pressure
  • Middle Aged
  • Postoperative Complications
  • Reoperation
  • Sclerostomy / methods*