Related Experiment Videos
Avoiding and managing complications of glaucoma drainage implants
1Glaucoma Service, Division of Ophthalmology, Scripps Clinic, La Jolla, California, USA. qnguyen@scrippsclinic.com
Current Opinion in Ophthalmology
|March 17, 2004
Summary
Glaucoma drainage implants can cause complications like infection or tube issues. However, most of these issues are self-resolving and rarely impact long-term vision.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Ocular Devices
Background:
- Aqueous drainage devices are used in glaucoma management.
- Late complications, such as blebitis and endophthalmitis, occur in 5% of cases.
- Effective management strategies are crucial for these devices.
Purpose of the Study:
- To review common complications associated with aqueous drainage devices.
- To provide strategies for avoiding or managing these complications.
- To address the incidence of late blebitis and endophthalmitis.
Main Methods:
- Review of literature on glaucoma drainage device complications.
- Categorization of complications into intraoperative, early postoperative, and late postoperative stages.
- Analysis of incidence and types of complications.
Main Results:
- Intraoperative complications include tube misdirection and scleral perforation.
- Early postoperative issues involve hypotony and choroidal effusions.
- Late complications encompass tube migration, extrusion, motility disturbance, and infection.
Conclusions:
- Most complications from glaucoma drainage implants are self-limiting.
- These complications rarely jeopardize the patient's visual outcome.
- Proactive management can mitigate risks associated with these devices.