Anterior Chamber Tube Shunt to a Surgical Membrane. |
Dong Myung Kim, Won Ryang Wee, Jin Ho Chang |
Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea. |
Silicone tube 와 두겹의 expanded polytetrafluoroethylene 을 이용한 녹내장 누공수술 |
김동명(Dong Myung Kim),위원량(Won Ryang Wee),장진호(Jin Ho Chang) |
|
|
Abstract |
Ahn et al.(1989) reported that glaucoma tube shunt surgery using 0.1 mm thickness expanded polytetrafluoroethylene(e-PTFE) as a template controlled the intraocular pressure successfully. But it requires the placement of intraluminal suture in the silicone tube to prevent early postoperative hypotony. To overcome this disadvantage, we modified the template by putting the posterior end of the silicone tube between the two-fold e-PTFE membrane and implanted it in 5 refractory glaucoma patients. The intraocular pressure was controlled without complications such as early hypotony, flat anterior chamber, and choroidal detachment. |
Key Words:
early postoperative hypotony;glaucoma;intraocular pressure;silicone tube;two-fold expanded polytetrafluoroethylene |