Conjunctival repair after glaucoma drainage device exposure using collagen-glycosaminoglycane matrices

Please always quote using this URN: urn:nbn:de:bvb:20-opus-175534
  • 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 adjacentBackground: 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.show moreshow less

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Metadaten
Author: André RosentreterORCiD, Alexandra Lappas, Randolf Alexander Widder, Maged Alnawaiseh, Thomas Stefan Dietlein
URN:urn:nbn:de:bvb:20-opus-175534
Document Type:Journal article
Faculties:Medizinische Fakultät / Augenklinik und Poliklinik
Language:English
Parent Title (English):BMC Ophthalmology
Year of Completion:2018
Volume:18
Issue:60
Source:BMC Ophthalmology (2018) 18:60. DOI: 10.1186/s12886-018-0721-6
DOI:https://doi.org/10.1186/s12886-018-0721-6
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Tag:Ahmed; Baerveldt; biodegradable implant; collagen-glycosaminoglycane matrix (CGM); conjunctival defect; conjunctival hole; conjunctival repair; drainage tube; episcleral drainage device; glaucoma drainage device; ologen implant
Release Date:2019/02/06
Licence (German):License LogoCC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International