|
KMID : 0213520080220040268
|
|
Korean Journal of Ophthalmology
2008 Volume.22 No. 4 p.268 ~ p.271
|
|
|
Pericardium Plug in the Repair of the Corneoscleral Fistula After Ahmed Glaucoma Valve Explantation
|
|
Yoo Chung-Kwon
Kim Yong-Yeon
Kwon Sung-Wook
|
|
|
Abstract
|
|
|
|
We report four cases in which a pericardium (Tutoplast®) plug was used to repair a corneoscleral fistula after Ahmed Glaucoma Valve (AGV) explantation. In four cases in which the AGV tube had been exposed, AGV explantation was performed using a pericardium (Tutoplast®) plug to seal the defect previously occupied by the tube. After debridement of the fistula, a piece of processed pericardium (Tutoplast®), measured 1 mm in width, was plugged into the fistula and secured with two interrupted 10-0 nylon sutures. To control intraocular pressure, a new AGV was implanted elsewhere in case 1, phaco-trabeculectomy was performed concurrently in case 2, cyclophotocoagulation was performed postoperatively in case 3 and anti-glaucomatous medication was added in case 4. No complication related to the fistula developed at the latest follow-up (range: 12~26 months). The pericardium (Tutoplast®) plug seems to be an effective method in the repair of corneoscleral fistulas resulting from explantation of glaucoma drainage implants.
|
|
|
KEYWORD
|
|
|
Ahmed glaucoma valve, Corneoscleral fistula, Pericardium plug
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|