March 2012
Volume 53, Issue 14
Free
ARVO Annual Meeting Abstract  |   March 2012
"Vent and Stent" - An Approach to Early Postoperative Intraocular Pressure Management for Non-Valved Glaucoma Drainage Implants
Author Affiliations & Notes
  • Laura Rubinate
    Ophthalmology, SAUSHEC, San Antonio, Texas
  • Abraham Suhr
    Ophthalmology, Brooke Army Medical Center, San Antonio, Texas
  • James D. Brandt
    Ophthalmology & Vision Science, University of California, Davis, Sacramento, California
  • Lulu U. Gurria Quintana
    Ophthalmology, Instituto de Oftalmologia, Mexico, D.F., Mexico
  • Footnotes
    Commercial Relationships  Laura Rubinate, None; Abraham Suhr, None; James D. Brandt, None; Lulu U. Gurria Quintana, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science March 2012, Vol.53, 3713. doi:
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      Laura Rubinate, Abraham Suhr, James D. Brandt, Lulu U. Gurria Quintana; "Vent and Stent" - An Approach to Early Postoperative Intraocular Pressure Management for Non-Valved Glaucoma Drainage Implants. Invest. Ophthalmol. Vis. Sci. 2012;53(14):3713.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To determine if the "vent and stent" technique is a safe and effective surgical modification for non-valved glaucoma drainage devices (GDDs) in controlling early post-operative intraocular pressure (IOP).

Results: : For this group of subjects, the preoperative, postoperative day 1, week 1, and month 1 IOP were 26.71 +/- 12.06, 10.17 +/- 10.63, 10.18 +/- 7.39, and 15.44 +/- 8.48 mmHg respectively with minimal complications. There was a statistically significant difference in IOP from pre-op to post-op day 1, pre-op to post-op week 1 and from pre-op to post-op month 1. The rate of hypotony was 30.2%, the rate of shallow anterior chambers was 6.3%, the rate of IOP >20 was 20.6%.

Conclusions: : The vent and stent technique is a safe and effective surgical modification to glaucoma tube shunt implantation, which effectively controls early postoperative IOP while minimizing complications.

Keywords: intraocular pressure • wound healing • anterior chamber 
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