Glaucoma Drainage Implant Surgery Combined with Pars Plana Vitrectomy and KPro Implantation
Glaucoma occurs with a relatively high frequency after Boston KPro (KPro) implantation. Disease course is often aggressive in nature and requires surgical intervention. Combined surgical techniques involving glaucoma drainage implant (GDI) surgery at the time of initial KPro implantation provide for successful postoperative results. The current chapter describes a technique involving combined GDI, KPro, and vitreoretinal surgeries. Posterior placement of the GDI tube allows for adequate postoperative contact lens fitting, decreasing the risk of conjunctival erosion and subsequent tube exposure. Patient candidates for this procedure must demonstrate medical and social stability as rigorous postoperative care is required to allow for proper monitoring and adjustment of medications. Coordination of care among expert ophthalmic subspecialists allows for optimal surgical outcome.
KeywordsGlaucoma Surgery KPro Glaucoma implant Glaucoma shunt Glaucoma surgery Keratoprosthesis Boston keratoprosthesis Intraocular pressure
Compliance with Ethical Requirements
Thasarat S. Vajaranant and Ahmed A. Aref declare that they have no conflict of interest. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study. No animal studies were carried out by the authors for this article.
Glaucoma Drainage Implant Surgery Combined with Pars Plana Vitrectomy and KPro Implantation; Ahmad A. Aref, MD, Maria S. Cortina, MD, Felix Y. Chau, MD, Thasarat S. Vajaranant, MD, and Jose de la Cruz, MD (MPG 132,552 kb)
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