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Pericardial patch grafts in glaucoma implant surgery
T Raviv1, D S Greenfield, J M Liebmann
1Department of Ophthalmology, New York Eye and Ear Infirmary, NY 10003, USA.
Journal of Glaucoma
|March 11, 1998
Summary
Pericardial patch grafts are safe and effective for glaucoma implant surgery, showing no signs of infection or rejection. While generally well-tolerated, long-term monitoring for potential graft thinning is recommended.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Glaucoma drainage devices are crucial for managing intraocular pressure.
- The use of patch grafts aims to improve outcomes and reduce complications in glaucoma surgery.
Purpose of the Study:
- To evaluate the safety and effectiveness of pericardial patch grafts in glaucoma implant surgery.
- To assess complications associated with pericardial patch grafts in this context.
Main Methods:
- Retrospective chart review of patients undergoing glaucoma implant procedures with pericardial patch grafts.
- Assessment for complications including graft rejection, infection, thinning, and tube erosion.
Main Results:
- Forty-four eyes were analyzed with a mean follow-up of 10.2 months.
- No instances of infection, tube erosion, graft rejection, or inflammation were observed.
- Five eyes (11.4%) showed asymptomatic graft thinning without tube erosion.
Conclusions:
- Preserved human cadaveric pericardial patch grafts are well-tolerated in glaucoma drainage device surgery.
- Potential for graft thinning exists, necessitating further long-term studies.
- Pericardial patch grafts represent a viable option for glaucoma implant surgery.