SILICONE TUBE SHUNT IN SUPRACHOROIDAL SPACE IN RECALCITRANC GLAUCOMAS
DOI:
https://doi.org/10.31729/jnma.738Abstract
Silicone tube shunt operations to drain the aqueous from the anterior chamber to the
suprachoroidal space were performed in 12 different types of refractory glaucomas in
which the intraocular pressure ranged from 25 mmHg to 80 mmHg (mean 45.75 mmHg)
even after maximally tolerated medical treatment or after conventional glaucoma
surgery. The post-silicone tube shunt intraocular pressure ranged from 7 mmHg to 34
mmHg (mean 15. 83 mmHg) after a follow-up period ranging 2 months in some cases
to 24 months in others. The intraocular pressure was controlled in all cases
postoperatively either with the operation alone or with medical treatment or after
repeat operation. The complications were very few except in one case in which there
was hyphema as well as vitreous hemorrhage prior to operation because of trauma for
which pars plana vitrectomy followed by second silicone tube shunt operation were
performed and at the end enucleation had to be done.
Key Words: Artificial Drainage, Shunt Operation, Recalcitrant Glaucomas.
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