Rosentreter, Andre, Lappas, Alexandra, Widder, Randolf Alexander, Alnawaiseh, Maged and Dietlein, Thomas Stefan (2018). Conjunctival repair after glaucoma drainage device exposure using collagen-glycosaminoglycane matrices. BMC Ophthalmol., 18. LONDON: BIOMED CENTRAL LTD. ISSN 1471-2415

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Abstract

Background: To report the results of the repair of conjunctival erosions resulting from glaucoma drainage device surgery using collagen-glycosaminoglycane matrices (CGM). Methods: Case series of 8 patients who underwent revision surgery due to conjunctival defects with exposed tubes through necrosis of the overlying scleral flap and conjunctiva after Baerveldt drainage device surgery. The defects were repaired by lateral displacement of the tube towards the sclera, with a slice of a CGM as a patch, covered by adjacent conjunctiva. Result: Successful, lasting closure (follow-up of 12 to 42 months) of the conjunctival defects was achieved without any side-effects or complications in all eight cases. Conclusions: Erosion of the drainage tube, creating buttonholes in the conjunctiva after implantation of glaucoma drainage devices, is a potentially serious problem. It can be managed successfully using a biodegradable CGM as a patch.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Rosentreter, AndreUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lappas, AlexandraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Widder, Randolf AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Alnawaiseh, MagedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dietlein, Thomas StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-195520
DOI: 10.1186/s12886-018-0721-6
Journal or Publication Title: BMC Ophthalmol.
Volume: 18
Date: 2018
Publisher: BIOMED CENTRAL LTD
Place of Publication: LONDON
ISSN: 1471-2415
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
TUBE SHUNT SURGERY; CLINICAL-EXPERIENCE; TRABECULECTOMY TVT; FOLLOW-UP; IMPLANT; VALVE; COMPLICATIONSMultiple languages
OphthalmologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/19552

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