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Internal glaucoma drainage device tube fenestration for uncontrolled postoperative intraocular pressure
Robert J Campbell1, Yvonne M Buys, Ian P McIlraith
1Department of Ophthalmology, Queen's University, Hotel Dieu Hospital, Kingston, Canada. rob.campbell@queensu.ca
Purpose:
To describe a novel approach to early postoperative intraocular pressure (IOP) control after glaucoma drainage device (GDD) implantation.
Methods:
Two patients with elevated IOP after GDD implantation underwent internal GDD tube fenestration using a 30-gauge needle to perforate the GDD tube.
Results:
IOP was lowered in each case by over 50% without complication.
Conclusions:
Transanterior chamber internal GDD tube fenestration is a novel, straightforward approach to early IOP control after GDD implantation. This procedure adds to our armamentarium of methods for controlling IOP during the early postoperative period.
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