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Int Med Case Rep J. 2016 Mar 18;9:69-72. doi: 10.2147/IMCRJ.S93849. eCollection 2016.

Gold shunt for refractory advanced low-tension glaucoma with spared central acuity.

Author information

1
Keenan Research Center, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
2
Keenan Research Center, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada; Ophthalmology and Vision Sciences, Glaucoma Unit, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada; Laboratory Medicine and Pathobiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.

Abstract

The aim of this study is to report a case of gold shunt surgery for uncontrolled, low-tension glaucoma with good central vision, after having a previously failed trabeculectomy and tube shunt surgeries. The patient was receiving maximum medical glaucoma therapy of four different types with intraocular pressure of 17 mm Hg prior to gold shunt surgery. Five years later, intraocular pressure is well controlled in the low teens without the need for ocular medications, and glaucoma is stable following gold shunt surgery.

KEYWORDS:

glaucoma surgery; gold shunt; refractory glaucoma; suprachoroidal space; trabeculectomy; tube shunt

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