Vol. 48 No. 1 Surgical Technique PDF

Implantation of an Alternative, Novel Glaucoma Drainage Device in the Treatment of Congenital Glaucoma Following Two Failed Filtration Surgeries

Aldo Mar B. Cariaga, MD, DPBO1

1Baguio General Hospital and Medical Center

Correspondence: Aldo Mar B. Cariaga, MD, DPBO1
Clinic Address: Rm 212, Pueblo de Maria Bldg., Notre Dame De Chartres, Gen. Luna Rd., Baguio City
Clinic Phone Number: +63 (074) 4424877
Email Address: domski2007@gmail.com

Disclaimer: The author reports no conflict of interest


Objective: To describe a novel glaucoma drainage device fashioned from a scleral buckle and nasolacrimal silicone tube.

Method: This is a case report and a description of a surgical technique.

Results: A 6-year-old boy with congenital glaucoma who underwent 2 failed filter surgeries had medically uncontrolled intraocular pressures (IOP). Due to limited funds for a second glaucoma drainage device, the author utilized a portion of a scleral buckle and nasolacrimal silicone tube – the same raw materials used in the Schocket implant – to fashion a novel, non-valved glaucoma shunt that was implanted in the patient’s eye. Post- operatively, IOP was 8-10mmHg. This was sustained for 12 months without the need for supplemental anti- glaucoma medications. Postoperative complications included tube migration resulting in localized corneal decompensation and cataract formation.

Conclusion: The alternative GDD made from a portion of a scleral buckle and silicone tube may be an effective and economical alternative to the GDDs available in the market.

Keywords: Second glaucoma shunt insertion, failed glaucoma shunt, alternative glaucoma drainage device, congenital glaucoma, Schocket implant

Philipp J Ophthalmol 2023;48:29-32