Open AccessFibrin sealant-assisted revision of the exposed Ahmed tube
Author(s) -
Nikhil S. Choudhari,
Aditya Neog,
Supriya Latka,
Bhaskar Srinivasan
Publication year - 2015
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/0974-9233.148360
Subject(s) - medicine , sealant , surgery , fibrin , fibrin tissue adhesive , complication , tube (container) , glaucoma , ophthalmology , retinal detachment , fibrin glue , retinal , mechanical engineering , chemistry , organic chemistry , engineering , immunology
Tube exposure is a known complication of Ahmed glaucoma valve (AGV) implantation. Repair of the exposed tube is not easy. A 42-year-old monocular aphakic male had undergone retinal detachment repair with placement of an episcleral-encircling band followed by implantation of AGV. He presented to the clinic on routine review with exposure of the shunt tube. The complication was managed by placing scleral and conjunctival grafts over the exposed tube using a fibrin adhesive (Tisseel kit; Baxter AG, Vienna, Austria). The novel use of the fibrin sealant in the repair of AGV tube exposure was for better graft-integration.