International Ophthalmology

, Volume 13, Issue 1–2, pp 151–157 | Cite as

Glaucoma drainage tubes — their role in glaucoma management

  • R. A. Hitchings
  • M. J. Lavin
  • M. Calthorpe
Article

Abstract

The results are presented from 100 eyes operated upon with either the ACTSEB procedure or a one piece tube and plate that have been followed for >12 months. An intraocular pressure control was considered ‘successful’ if <21 mm Hg.

The success varied according to the diagnostic category and its type of operation. One third of the total group did not require antiglaucomatous medications. Higher success rates were found in the one piece than the ACTSEB procedure. Overall success rates at 18 months per diagnostic group ranged between 41% in the neovascular glaucomas to 83% in the chronic simple glaucomas.

Key words

tube and plate ACTSEB glaucoma surgery 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Jerndal T, Lundstrom M. 330 Trabeculectomies—a long term study. Acta Ophth 1980; 58: 947–56.Google Scholar
  2. 2.
    Watson P, Grierson I. The place of trabeculectomy in the treatment of glaucoma. Ophthalmology 1981; 88: 175–96.Google Scholar
  3. 3.
    Mills KB. Prabeculectomy: a retrospective long term followup of 444 cases. Br J Ophthal 1981; 65: 790–6.PubMedGoogle Scholar
  4. 4.
    Lamping K, Bellow AR, Hutchinson T, Afran SJ. Long term evaluation of initial filtration surgery. Ophthalmology 1986; 93: 91–100.PubMedGoogle Scholar
  5. 5.
    Gressel MG, Heuer DK, Parrish RK. Trabeculectomy in young patients. Ophthalmology 1984; 91: 1242–6.PubMedGoogle Scholar
  6. 6.
    Hitchings RA, Grierson I. Clinico-pathological correlation in eyes with failed fistulising surgery. Trans Ophth Soc 1983; 103: 84–86.Google Scholar
  7. 7.
    Joseph JP, Grierson I, Hitchings RA. Normal rabbit aqueous humour, fibronectin and fibroblast conditioned medium are chemoattractant to Tenons capsule fibroblasts. Eye 1987; 1: 585–92.PubMedGoogle Scholar
  8. 8.
    Herschler J, Litin BS. Biochemical abnormalities in the aqueous in chronic open angle glaucoma. Ophthalmic surgery 1987; 18: 792–5.PubMedGoogle Scholar
  9. 9.
    Grierson I. Unpublished observations.Google Scholar
  10. 10.
    Sherwood MB, Grierson I, Hitchings RA. Unpublished observations.Google Scholar
  11. 11.
    Lavin M, Rose GE, Hitchings RA. Medical treatment, its effect on subsequent trabeculectomy surgery. Presented at the annual meeting of the Ophthalmological Society U.K. Harrogate April 1988. Submitted for publication.Google Scholar
  12. 12.
    Miller MH, Joseph N, Wishart PK, Hitchings RA. Lack of beneficial effect of intensive steroids and beta irradiation in eyes undergoing repeat trabeculectomy. Ophthalmic surgery 1987; 18: 508–12.PubMedGoogle Scholar
  13. 13.
    Gressel MG, Parrish RK, Folberg R. 5-Fluorouracil and glaucoma filtering surgery. Ophthalmology 1984; 91: 378–83.PubMedGoogle Scholar
  14. 14.
    Hueur DK, Parrish RK, Gressel MG et al. 5-Fluorouracil and glaucoma filtering surgery. 111. Intermediate followup of a pilot study. Ophthalmology 1986; 93: 1537–46.PubMedGoogle Scholar
  15. 15.
    Lorraine JB, McGuigan I, et al. D-Penicillamine and beta-Aminoproprionitrile effects on experimental filtering surgery. Invest Ophthal and Vis Sci 1987; 28: 1625–9.Google Scholar
  16. 16.
    Nichols DA, Popovitch KS, Peiffer RL. Long term comparative study of the Schocket and Joseph tubes in monkeys. A.R.V.O. Abstracts 1988; p. 224, No 3.Google Scholar
  17. 17.
    Molteno ACB. New implant for glaucoma; clinical trial Br J Ophthal 1969; 53: 606–51.Google Scholar
  18. 18.
    Molteno ACB. Two stage insertion of glaucoma drainage implants. Trans Ophth Soc N 1979; 31: 17–26.Google Scholar
  19. 19.
    Molteno ACB. The optimal design of drainage implants for glaucoma. Trans Ophth Soc NZ 1981; 33: 39–41.Google Scholar
  20. 20.
    Molteno ACB. The use of Molteno implants to treat secondary glaucoma. In: Glaucoma Vol 1. ed J.E. Cairns Grune and Stratten London 1986; Chapter 10.Google Scholar
  21. 21.
    Brown RD, Cairns JD. Experience with the Molteno long tube implant. Trans Ophth Soc UK 1983; 103: 299–312.Google Scholar
  22. 22.
    Schocket SS, Lakhpal V, Richards RD. Anterior chamber tube shunt to an encircling band in the treatment of neovascular glaucoma. Ophthalmology 1982; 89: 1188–94.PubMedGoogle Scholar
  23. 23.
    Krupin T, Kaufman P, Mandell RI et al. Long term results of valve implants in filtering surgery for eyes with neovascular glaucoma. Am J Ophth 1983; 95: 775–82.PubMedGoogle Scholar
  24. 24.
    Joseph NH, Sherwood MB, Trantas G, Hitchings RA, Lattimer J. A one piece drainage system for glaucoma surgery. Trans Ophth Soc UK 1986; 105: 657–64.Google Scholar
  25. 25.
    Sherwood MB, Joseph NH, Hitchings RA. Surgery for Refractory glaucoma. Results and complications with a modified Schocket technique. Arch Ophthal 1987; 105: 562–569.PubMedGoogle Scholar
  26. 26.
    Rose GE, Lavin MJ, Hitchings RA. Silicone rubber drainage. Presented at the annual meeting. Ophthalmological Society UK. Submitted for Publication.Google Scholar

Copyright information

© Kluwer Academic Publishers 1989

Authors and Affiliations

  • R. A. Hitchings
    • 1
  • M. J. Lavin
    • 1
  • M. Calthorpe
    • 1
  1. 1.Moorfields Eye HospitalLondonUK

Personalised recommendations