Case report: Inferior valved for non-valved glaucoma drainage device exchange for glaucoma control and cosmesis.

Frontiers in ophthalmology Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI:10.3389/fopht.2024.1361898

Abdullah M Khan, Maram E A Abdalla Elsayed, Rizwan Malik

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引用次数: 0

Abstract

Introduction: While the exchange of a superior valved glaucoma drainage device (GDD) for a non-valved GDD has been reported for achieving glaucoma control, inferior GDD exchange for improving the cosmetic appearance of the eyes due to poor appearance caused by encapsulated GDDs has not been previously documented. Here, we report on two patients with inferior valved GDDs who underwent an exchange for non-valved devices for glaucoma control and cosmetic improvement.

Case description: We report on the case of a 23-year-old gentleman and that of an 8-year-old girl, both of whom had inferior valved GDDs with uncontrolled intraocular pressure and unsightly appearance due to encapsulated GDD plates within the palpebral aperture. Both patients were unhappy about the appearance of their eyes. In each case, improvements in both glaucoma control and cosmesis were achieved by exchanging the valved GDDs for non-valved ones.

Conclusion: Exchanging a valved for a non-valved GDD might help improve the cosmetic appearance of the eyes, in addition to providing glaucoma control.

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病例报告：下阀式青光眼引流装置与无阀式青光眼引流装置互换，以控制青光眼并改善外观。

导言：将上瓣膜青光眼引流装置（GDD）换成无瓣膜 GDD 以达到控制青光眼的目的已有报道，但将下瓣膜青光眼引流装置换成无瓣膜 GDD 以改善包膜 GDD 造成的外观不佳而导致的眼部外观不佳的情况还未见报道。在此，我们报告了两名患有下瓣膜 GDD 的患者，他们接受了无瓣膜装置的交换手术，从而控制了青光眼并改善了外观：我们报告了一名 23 岁男性和一名 8 岁女孩的病例，这两名患者都患有下瓣膜 GDD，眼压无法控制，而且由于 GDD 板被包裹在睑板孔内，外观难看。这两名患者都对自己的眼睛外观不满意。通过将带阀 GDD 换成无阀 GDD，两例患者的青光眼控制和外观都得到了改善：结论：将有瓣膜的 GDD 换成无瓣膜的，除了能控制青光眼外，还有助于改善眼睛的外观。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in ophthalmology

CiteScore

0.50

自引率

0.00%

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