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  • Title: Modified aqueous drainage implants in the treatment of complicated glaucomas in eyes with pre-existing episcleral bands.
    Author: Smith MF, Doyle JW, Fanous MM.
    Journal: Ophthalmology; 1998 Dec; 105(12):2237-42. PubMed ID: 9855153.
    Abstract:
    OBJECTIVE: Control of intraocular pressure (IOP) after retinal surgery with scleral band placement may be problematic. In this study, outcome after silastic drainage implant placement is reviewed. DESIGN/PARTICIPANTS: A retrospective chart review of 11 eyes in 11 patients with severe glaucoma after multiple surgeries, including scleral buckle procedures. INTERVENTION: Patients received silastic drainage implant surgery, either a long Krupin Denver valved implant (7) or a trimmed Baerveldt seton (4). MAIN OUTCOME MEASURES: Vision, IOP, and need for further glaucoma medication or glaucoma surgery were measured. RESULTS: One- and 2-year life-table success rates (either complete or qualified success) were 82% and 73%, respectively, defining success as final IOP of 21 mmHg or less without need for further glaucoma surgery and no loss of visual acuity. Half of the successful eyes required antiglaucoma medication. CONCLUSIONS: Silastic drainage implants may be a viable option in the treatment of complicated glaucoma after retinal surgery.
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