ArticleAmerican journal of ophthalmology case reports2025
Suture stent insertion into an over draining tube shunt lumen via single paracentesis.
Article in American journal of ophthalmology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Glaucoma tube shunts, especially Baerveldt-350s, carry the risk of hypotony-associated complications. In a 2016 letter to the editor by Kuruvilla et al., a technique was described to secondarily stent Baerveldt tube lumen with 3-0 Supramid suture to minimize hypotony-associated complications. Others have further described or demonstrated this technique, which uses two paracenteses, in surgical videos. This case report demonstrates our adaptation of the aforementioned technique to insert a suture stent into an over-draining tube shunt via a single paracentesis. We also describe a case of a patient with severe primary angle glaucoma and a Baerveldt-350 who developed late hypotony with maculopathy and a decline in visual acuity. With this technique, her intraocular pressure rose, maculopathy resolved, and visual acuity improved.
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