TY  - JOUR
A1  - Rosentreter, André
A1  - Lappas, Alexandra
A1  - Widder, Randolf Alexander
A1  - Alnawaiseh, Maged
A1  - Dietlein, Thomas Stefan
T1  - Conjunctival repair after glaucoma drainage device exposure using collagen-glycosaminoglycane matrices
JF  - BMC Ophthalmology
N2  - Background:
To report the results of the repair of conjunctival erosions resulting from glaucoma drainage device surgery using collagen-glycosaminoglycane matrices (CGM).

Methods:
Case series of 8 patients who underwent revision surgery due to conjunctival defects with exposed tubes through necrosis of the overlying scleral flap and conjunctiva after Baerveldt drainage device surgery. The defects were repaired by lateral displacement of the tube towards the sclera, with a slice of a CGM as a patch, covered by adjacent conjunctiva.

Result:
Successful, lasting closure (follow-up of 12 to 42 months) of the conjunctival defects was achieved without any side-effects or complications in all eight cases.

Conclusions:
Erosion of the drainage tube, creating buttonholes in the conjunctiva after implantation of glaucoma drainage devices, is a potentially serious problem. It can be managed successfully using a biodegradable CGM as a patch.
KW  - Ahmed
KW  - Baerveldt
KW  - biodegradable implant
KW  - collagen-glycosaminoglycane matrix (CGM)
KW  - conjunctival defect
KW  - episcleral drainage device
KW  - drainage tube
KW  - conjunctival repair
KW  - conjunctival hole
KW  - glaucoma drainage device
KW  - ologen implant
Y1  - 2018
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-175534
VL  - 18
IS  - 60
ER  -