Dr.Charudutt kalamkar, Dr.Anand Tibdewal, Dr.Jaideep Singh Popli
Aim;To present a new surgical technique ` Scleral Sleeve Method` which would reduce the risk of Ahmed Glaucoma Valve (AGV) tube exposure, extrusion and retraction in patients of refractory glaucomas. Methods: 16 eyes of adult patients with refractory glaucoma underwent AGV implantation with intra-scleral tube fixation by `Scleral Sleeve method`.Instead of using sutures to fix the AGV tube to sclera, which carries risk of breakage or getting loose, we devised a novel method of intra-scleral tube fixation by creating a scleral tunnel Results: There was no case of tube exposure or extrusion in our series. Scleral tunnel fashioned in form of sleeve allows proper tube fixation within the sclera.Conclusion: Use of Scleral sleeve method will reduce the risk of tube related complication like exposure,extrusion & endophthalmitis. It will also re suture related complications. Larger studies and longer follow-up periods are required to confirm our findings regarding this new technique
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