Transcameral suture for tube cornea touch

Tran, Khoi and Thomas, Ravi (2011) Transcameral suture for tube cornea touch. Clinical and Experimental Ophthalmology, 39 2: 178-179. doi:10.1111/j.1442-9071.2010.02409.x

Author Tran, Khoi
Thomas, Ravi
Title Transcameral suture for tube cornea touch
Journal name Clinical and Experimental Ophthalmology   Check publisher's open access policy
ISSN 1442-6404
Publication date 2011-03
Sub-type Letter to editor, brief commentary or brief communication
DOI 10.1111/j.1442-9071.2010.02409.x
Volume 39
Issue 2
Start page 178
End page 179
Total pages 2
Editor Charles N. J. McGhee
Victoria Cartwright
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2012
Language eng
Formatted abstract
Glaucoma drainage devices have been used for over three decades in refractory glaucoma, and recent trials recommend their use earlier in the disease process. Corneal decompensation because of tube–cornea touch appears to be one of the main late postoperative complications. The endothelial failure begins with local corneal oedema that subsequently becomes generalized.

Interventions to rectify this complication include tube repositioning that involves major surgery or the relatively easier trimming of the tube through two paracentesis incisions. Occasionally explantation of the device is necessary. Recently Bochmann and Azuara-Blanco described a simple and novel technique of tube repositioning using transcameral sutures that we used and documented with pre- and postoperative photographs.

The use of transcameral sutures to manage tube–corneal touch resulted in reduction of corneal oedema and haze by repositioning the tube away from the endothelium. The procedure is less complex and safer than the more invasive option of tube repositioning via a steeper scleral tunnel or through a new insertion site. The photographs clearly illustrate the improved position of the tube and subsequent improvement of corneal oedema. This technique of transcameral suture is simple to use and is likely to be used more frequently in managing tube–cornea touch.
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Authors prepress title: "Trans cameral suture for repositioning a tube". Published under "Letters to the Editor".

Document type: Journal Article
Sub-type: Letter to editor, brief commentary or brief communication
Collections: Non HERDC
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Created: Mon, 28 Mar 2011, 08:56:33 EST by Debbie Banks on behalf of School of Medicine