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KMID : 0213520190330040371
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Korean Journal of Ophthalmology
2019 Volume.33 No. 4 p.371 ~ p.378
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Fluid Dynamics of Small Diameter Tubes Used in Membrane-tube Type Glaucoma Shunt Devices
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Han Jong-Chul
Hwang Young-Hoon
Ahn Byung-Heon
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Abstract
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Purpose: To investigate the outflow characteristics of silicone tubes with intraluminal stents used in membrane-tube (MT) type glaucoma shunt devices.
Methods: The silicone tubes used in MicroMT (internal diameter of 100 μm with a 7-0 nylon intraluminal stent) and Finetube MT (internal diameter of 200 μm with a 5-0 nylon intraluminal stent) were connected to a syringe-pump that delivered a continuous flow of distilled water at flow rates of 2, 5, 10, and 25 μL/min. The pressures and resistances of tubes were measured at a steady flow rate with full-length, half-length, and absence of intraluminal stents.
Results: The mean outflow resistance of the two types of tubes ranged from 3.0 ± 1.9 to 3.8 ± 1.7 mmHg/μL/min with a full-length intraluminal stent, 1.8 ± 1.1 to 2.2 ± 1.1 mmHg/μL/min with a half-length intraluminal stent, and 0.1 ± 0.0 to 0.2 ± 0.0 mmHg/μL/min without an intraluminal stent. Theoretically, for a physiologic state with a flow rate of 2 μL/min and episcleral venous pressure of 6 mmHg, the mean pressures of tubes were expected to be 13.2 ± 3.0, 10.5 ± 2.4, and 6.4 ± 0.2 mmHg in MicroMT with full-length, half-length, and absence of intraluminal stents, respectively, and 12.5 ± 3.9, 9.6 ± 2.4, and 6.2 ± 0.2 mmHg in Finetube MT with full-length, half-length, and absence of intraluminal stents, respectively. The pressure variance also decreased with intraluminal stent retraction (p < 0.01).
Conclusions: The small diameter tubes of 100 and 200 μm internal diameters, with 7-0 and 5-0 nylon intraluminal stents, respectively, used in the MT-type glaucoma shunt device showed safe and effective outflow characteristics.
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KEYWORD
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Glaucoma, Glaucoma drainage device, Glaucoma surgery, Intraocular pressure
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