Indications of Glaucoma Drainage Implant

  • Julie Pegu
  • Amit Purang
  • Monica Gandhi


Tube implants have been in vogue for over three decades. Its inception has brought a paradigm shift in the management of secondary glaucomas, where the only option earlier was cyclodestructive procedure. From the time of its innovation, however, it was restricted primarily to patients who were at a high risk of failure from conventional glaucoma filtration surgery. But the indications at present encompass a wide variety of secondary and primary glaucomas. Glaucoma drainage implants (GDIs), both valved and non-valved, are available. This chapter focuses on the possible indications of GDIs in the current glaucoma management.


  1. 1.
    Kwon YH, Taylor JM, Hong S, et al. Long-term results of eyes with penetrating keratoplasty and glaucoma drainage tube implant. Ophthalmology. 2001;108:272–8.CrossRefGoogle Scholar
  2. 2.
    Arroyave CP, Scott IU, Fantes FE, et al. Corneal graft survival and intraocular pressure control after penetrating keratoplasty and glaucoma drainage device implantation. Ophthalmology. 2001;108:1978–85.CrossRefGoogle Scholar
  3. 3.
    Sidoti PA, Mosny AY, Ritterband DC, et al. Pars plana tube insertion of glaucoma drainage implants and penetrating keratoplasty in patients with coexisting glaucoma and corneal disease. Ophthalmology. 2001;108:1050–8.CrossRefGoogle Scholar
  4. 4.
    Burgoyne JK, WuDunn D, Lakhani V, et al. Outcomes of sequential tube shunts in complicated glaucoma. Ophthalmology. 2000;107:309–14.CrossRefGoogle Scholar
  5. 5.
    Netland PA, Terada H, Dohlman CH. Glaucoma associated with keratoprosthesis. Ophthalmology. 1998;105(4):751–7.CrossRefGoogle Scholar
  6. 6.
    Freedman SF, McCormick K, Cox TA. Mitomycin C augmented trabeculectomy with post-operative wound modulation in pediatric glaucoma. J AAPOS. 1999;3:117–24.CrossRefGoogle Scholar
  7. 7.
    Blanco R, Wilson R, Spaeth G, et al. Filtration procedures supplemented with mitomycin C in the management of childhood glaucoma. B J Ophthalmol. 1999;83:151–6.CrossRefGoogle Scholar
  8. 8.
    Pakravan M, Homayoon N, Shahin Y, et al. Trabeculectomy with mitomycin C versus Ahmed glaucoma implant with mitomycin C for treatment of pediatric aphakic glaucoma. J Glaucoma. 2007;16:631–6.CrossRefGoogle Scholar
  9. 9.
    Beck AD, Freedman S, Kammer J, et al. Aqueous shunt devices compared with trabeculectomy with mitimycin C for children in the first two years of life. J Ophthalmol. 2003;136:994–1000.Google Scholar
  10. 10.
    Kim DK, Aslanides IM, Schmidt CM Jr, et al. Long-term outcome of aqueous shunt surgery in ten patients with iridocorneal endothelial syndrome. Ophthalmology. 1999;106:1030–4.CrossRefGoogle Scholar
  11. 11.
    Ishida K, Ahmed II, Netland PA. Ahmed glaucoma valve surgical outcomes in eyes with and without silicone oil endotamponade. J Glaucoma. 2009;18(4):325–30.CrossRefGoogle Scholar
  12. 12.
    Sidoti PA, Belmonte SJ, Liebmann JM, Ritch R. Trabeculectomy with mitomycin-C in the treatment of pediatric glaucomas. Ophthalmology. 2000;107(3):422–9.CrossRefGoogle Scholar
  13. 13.
    Beck AD, Freedman S, Kammer J, et al. Aqueous shunt devices compared with trabeculectomy with mitomycin-C for children in the first two years of life. Am J Ophthalmol. 2003;136:994–1000.CrossRefGoogle Scholar
  14. 14.
    Hill R, Ohanesian R, Voskanyan L, et al. The Armenian Eye Care Project: surgical outcomes of complicated pediatric glaucoma. Br J Ophthalmol. 2003;87:673–6.CrossRefGoogle Scholar
  15. 15.
    Iwach AG, Hoskins HD Jr, Hetherington J Jr, Shaffer RN. Analysis of surgical and medical management of glaucoma on Sturge-Weber syndrome. Ophthalmology. 1990;97:904–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Julie Pegu
    • 1
  • Amit Purang
    • 1
  • Monica Gandhi
    • 1
  1. 1.Anterior Segment and Glaucoma Services, Department of GlaucomaDr. Shroff’s Charity Eye HospitalNew DelhiIndia

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