The Glaucoma Drainage Devices: Types and Models

  • Bhumika Sharma
  • Monica Gandhi
  • Usha Yadava


Glaucoma drainage devices are designed to divert aqueous humor from the anterior chamber to the subconjunctival space. In 1912 the first attempt was made by Zorab [1] with a silk thread for translimbal aqueous drainage, and subsequently attempts were made with gold [2], platinum [3], and tantalum [4], but the results were poor because of uncontrolled flow, hypotony, and foreign body inflammatory reaction. Molteno in 1969 introduced the concept of a device that consisted of a long acrylic tube attached to an acrylic plate sutured to the sclera adjacent to the limbus, but this had a high failure rate due to bleb perforation or end plate exposure [5]. In 1973 Molteno introduced the concept of draining the aqueous away from the limbus [6], placing the end plate at the equatorial region, and all of the currently available glaucoma drainage devices are based on this concept.


  1. 1.
    Zorab A. The reduction of tension in chronic glaucoma. Ophthalmoscope. 1912;10:258–68.Google Scholar
  2. 2.
    Stefansson J. An operation for glaucoma. Am J Ophthalmol. 1925;8:681–92.CrossRefGoogle Scholar
  3. 3.
    Muldoon WE, Ripple PH, Wilder HC. Platinum implant in glaucoma surgery. Arch Ophthalmol. 1951;45:666.CrossRefGoogle Scholar
  4. 4.
    Tronsco MU. Use of tantalum implants for inducing a permanent hypotony in rabbit eyes. Am J Ophthalmol. 1949;32:499–508.CrossRefGoogle Scholar
  5. 5.
    Molteno ACB. New implant for draining in glaucoma. Br J Ophthalmol. 1969;53:609.Google Scholar
  6. 6.
    Molteno AC, Straughan JL, Ancker E, et al. Long tube implants in the management of glaucoma. S Afr Med J. 1976;50:1062–6.PubMedGoogle Scholar
  7. 7.
    Ayyala RS, Zurakowski D, Smith JA, et al. A clinical study of the Ahmed glaucoma valve implant in advanced glaucoma. Ophthalmology. 1998;105:1968–76.CrossRefGoogle Scholar
  8. 8.
    Coleman AL, Hill R, Wilson MR, et al. Initial clinical experience with the Ahmed Glaucoma Valve implant. Am J Ophthalmol. 1995;120:23–31.CrossRefGoogle Scholar
  9. 9.
    Huang MC, Netland PA, Coleman AL, et al. Intermediate-term clinical experience with the Ahmed Glaucoma Valve implant. Am J Ophthalmol. 1999;127:27–33.CrossRefGoogle Scholar
  10. 10.
    Topouzis F, Coleman AL, Choplin N, et al. Follow-up of the original cohort with the Ahmed glaucoma valve implant. Am J Ophthalmol. 1999;128:198–204.CrossRefGoogle Scholar
  11. 11.
    Cvintal V, Moster MR, Shyu AP, McDermott K, Ekici F, Pro MJ, Waisbourd M. Initial experience with the new Ahmed glaucoma valve model M 4: short-term results. J Glaucoma. 2016;25(5):e475–80.CrossRefGoogle Scholar
  12. 12.
    Sluch I, Gudgel B, Dvorak J, Anne Ahluwalia M, Ding K, Vold S, Sarkisian S. Clinical experience with the M4 Ahmed Glaucoma drainage implant. J Curr Glaucoma Pract. 2017;11(3):92–6.. Epub 2017 Oct 27CrossRefGoogle Scholar
  13. 13.
    The Krupin Eye Valve Filtering Surgery Study Group. Krupin eye valve with disk for filtration surgery. Ophthalmology. 1994;101:651–8.CrossRefGoogle Scholar
  14. 14.
    Airaksinen PJ, Aisala P, Tuulonen A. Molteno implant surgery in uncontrolled glaucoma. Acta Ophthalmol. 1990;68:690–4.CrossRefGoogle Scholar
  15. 15.
    Britt MT, LaBree LD, Lloyd MA, Minckler DS, Heuer DK, Baerveldt G, et al. Randomized clinical trial of the 350-mm2 versus the 500-mm2 Baerveldt implant: longer term results: is bigger better? Ophthalmology. 1999;106:2312–8.CrossRefGoogle Scholar
  16. 16.
    Hodkin MJ, Goldblatt WS, Burgoyne CF, Ball SF, Insler MS. Early clinical experience with the Baerveldt implant in complicated glaucomas. Am J Ophthalmol. 1995;120:32–40.CrossRefGoogle Scholar
  17. 17.
    Omi CA, De Almieda GV, Cohen R, et al. Modified schocket implant for refractory glaucoma. Experience of 55 cases. Ophthalmology. 1991;98(2):211–4.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Bhumika Sharma
    • 1
  • Monica Gandhi
    • 2
  • Usha Yadava
    • 1
  1. 1.Guru Nanak Eye CentreMaulana Azad Medical CollegeNew DelhiIndia
  2. 2.Anterior Segment and Glaucoma Services, Department of OphthalmologyDr. Shroff’s Charity Eye HospitalNew DelhiIndia

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