Open AccessA novel simplified method for managing inadvertent tube cut during aurolab aqueous drainage implant surgery for refractory glaucoma
Author(s) -
Sachin Mungale,
Paaraj Dave
Publication year - 2019
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_1708_18
Subject(s) - medicine , glaucoma , surgery , refractory (planetary science) , tube (container) , intraocular pressure , ligature , implant , fibrous joint , glaucoma surgery , drainage , ophthalmology , mechanical engineering , ecology , physics , astrobiology , biology , engineering
We report a novel simplified method for managing inadvertent tube cut in a patient undergoing the Aurolab aqueous drainage implant (AADI) surgery for refractory neovascular glaucoma. Tube cut occurred while applying the polyglactin ligature suture used to avoid early postoperative hypotony. The short end of the cut tube was removed and the long end reinserted into the base plate of AADI. The surgery was then completed as usual. Following the surgery, the intraocular pressure reduced to 20 mmHg which stabilized and was maintained at 10 mmHg till the last follow-up at 12 months without any glaucoma medication.