Fibrin sealant-assisted revision of the exposed Ahmed tube

Nikhil S Choudhari; Aditya Neog; Supriya Latka; Bhaskar Srinivasan

doi:10.4103/0974-9233.148360

Middle East African Journal of Ophthalmology

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Year : 2015 | Volume : 22 | Issue : 1 | Page : 115-116

Fibrin sealant-assisted revision of the exposed Ahmed tube

Nikhil S Choudhari¹, Aditya Neog², Supriya Latka², Bhaskar Srinivasan³
¹ Department of Glaucoma, Jadhavbhai Nathamal Singhvi, Sankara Nethralaya, Chennai, Tamil Nadu; V S T Glaucoma Centre, Dr. Kallam Anji Reddy Campus, L V Prasad Eye Institute, Hyderabad, India
² Department of Glaucoma, Jadhavbhai Nathamal Singhvi, Sankara Nethralaya, Chennai, Tamil Nadu, India
³ Dr. G. Sitalakshmi Memorial Clinic for Ocular Surface Disorders, Sankara Nethralaya, Chennai, Tamil Nadu, India

Correspondence Address:
Bhaskar Srinivasan
Medical Research Foundation, Sankara Nethralaya, 18/41, College Road, Chennai - 600 006, Tamil Nadu
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/0974-9233.148360

Tube exposure is a known complication of Ahmed glaucoma valve (AGV) implantation. Repair of the exposed tube is not easy. A 42-year-old monocular aphakic male had undergone retinal detachment repair with placement of an episcleral-encircling band followed by implantation of AGV. He presented to the clinic on routine review with exposure of the shunt tube. The complication was managed by placing scleral and conjunctival grafts over the exposed tube using a fibrin adhesive (Tisseel kit; Baxter AG, Vienna, Austria). The novel use of the fibrin sealant in the repair of AGV tube exposure was for better graft-integration.

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