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Transcorneal tube extrusion in a child with a Baerveldt glaucoma drainage device

Jesse L Maki1, Heather A Nesti, Rajesh K Shetty

  • 1Massachusetts Eye and Ear Infirmary, Boston, Massachusetts 02114, USA.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|April 6, 2007
PubMed

Insights

Tube shunt surgery for pediatric glaucoma can lead to tube extrusion through the cornea, a rare but serious complication. Close monitoring of young patients post-surgery is crucial, particularly in the first year.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Glaucoma and aqueous misdirection are serious conditions requiring surgical intervention in pediatric patients.
  • Tube shunts are utilized to manage intraocular pressure in complex pediatric glaucoma cases.

Observation:

  • A rare complication of tube shunt surgery, corneal extrusion of the tube, was observed in a pediatric patient.
  • This specific complication has predominantly been reported in young patients.

Findings:

  • Corneal extrusion of a tube shunt is a rare but significant complication following glaucoma surgery in children.
  • The incidence and characteristics of this complication are primarily observed in pediatric populations.

Implications:

  • Pediatric patients with tube shunts require vigilant and frequent ophthalmological monitoring, especially within the first year post-implantation.
  • Early detection of tube extrusion is critical for managing this rare complication and preventing further vision loss in children.

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