[Revision surgery in episcleral glaucoma drainage devices]

Ophthalmologe. 2016 Nov;113(11):906-909. doi: 10.1007/s00347-016-0334-5.
[Article in German]

Abstract

Episcleral glaucoma drainage devices (e.g., Ahmed or Baerveldt drainage device) are often used at a late stage in the care of glaucoma patients. At this stage other surgical techniques, such as trabeculectomy or viscocanaloplasty, have failed. However, the trend towards earlier implant surgery is supported by large randomized trials. Physicians should be aware of typical complications and, if possible, these should already be avoided by careful surgical technique. In this review article, we focus on postoperative hypotension, postoperative pressure increases, implant exposure, and possible corneal decompensation.

Keywords: Ahmed drainage device; Baerveldt drainage device; Complications; Hypotension; Surgery.

Publication types

  • Review

MeSH terms

  • Evidence-Based Medicine
  • Filtering Surgery / instrumentation*
  • Filtering Surgery / methods
  • Glaucoma / complications
  • Glaucoma / diagnosis
  • Glaucoma / surgery*
  • Glaucoma Drainage Implants*
  • Humans
  • Minimally Invasive Surgical Procedures / instrumentation
  • Minimally Invasive Surgical Procedures / methods
  • Ocular Hypertension / diagnosis
  • Ocular Hypertension / etiology*
  • Ocular Hypertension / surgery*
  • Preoperative Care / instrumentation
  • Preoperative Care / methods
  • Prosthesis Implantation / methods
  • Reoperation / instrumentation*
  • Reoperation / methods
  • Treatment Outcome