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Indian J Ophthalmol. 2019 May;67(5):694-696. doi: 10.4103/ijo.IJO_1708_18.

A novel simplified method for managing inadvertent tube cut during aurolab aqueous drainage implant surgery for refractory glaucoma.

Author information

1
Department of Glaucoma, Mungale Eye Hospital, Vinraj Plaza, Kothi, Vadodara, Gujarat, India.
2
Department of Glaucoma, Dave Eye Clinic, 301 Sanket Heights, Akshar Chowk, Sun Pharma Road, Atladara, Vadodara, Gujarat, India.

Abstract

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.

KEYWORDS:

Aurolab aqueous drainage implant; management; tube cut

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