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The Modified Schocket Procedure

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Advanced Glaucoma Surgery

Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

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Abstract

Glaucoma is not infrequently encountered after retinal detachment surgery. Surgical management of glaucoma in eyes with preexisting scleral buckles can be challenging. Trabeculectomy has a high failure rate because poor conjunctival health limits bleb survival, and glaucoma drainage devices have large-sized plates and their implantation is often difficult if a scleral buckle is present. The modification to the original Schocket procedure described by Sidoti and colleagues in which a silicone tube is inserted into the capsule of a preexisting scleral buckle is a good surgical option. This anterior chamber tube shunt to an encircling band (ACTSEB) is a safe and effective option to control intraocular pressure (IOP) in these cases. Reported success in lowering IOP ranges between 80 and 90 % in published retrospective case series. Reported complications include immediate postoperative hypotony, serous choroidal detachments, conjunctival wound leak, hyphema, and tube obstruction. The use of current glaucoma drainage devices in eyes with preexisting scleral buckles has also been described with comparable outcome and complication rates. The modified Schocket procedure is particularly useful when significant conjunctival and subconjunctival scarring is present in eyes with preexisting scleral buckles.

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Compliance with Ethical Requirements

Luis E. Vazquez and Steven J. Gedde declare that they have no conflict of interest. No human or animal studies were carried out by the authors for this article.

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Authors and Affiliations

  1. Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA

    Luis E. Vazquez M.D. & Steven J. Gedde M.D.

Authors
  1. Luis E. Vazquez M.D.
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  2. Steven J. Gedde M.D.
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Corresponding author

Correspondence to Luis E. Vazquez M.D. .

Editor information

Editors and Affiliations

  1. Illinois Eye & Ear Infirmary, University of Illinois at Chicago School of Medicine, Chicago, Illinois, USA

    Ahmad A. Aref

  2. Southern California, LA, CA, USA, USC Eye Ins.Dept. of Ophth. Univ.of Southern California, LA, CA, USA, California, California, USA

    Rohit Varma

12.1 Electronic Supplementary Material

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Modified Schocket Procedure; Ahmad A. Aref, MD (MPG 75,510 kb)

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© 2015 Springer International Publishing Switzerland

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Vazquez, L.E., Gedde, S.J. (2015). The Modified Schocket Procedure. In: Aref, A., Varma, R. (eds) Advanced Glaucoma Surgery. Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-18060-1_12

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  • DOI: https://doi.org/10.1007/978-3-319-18060-1_12

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18059-5

  • Online ISBN: 978-3-319-18060-1

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