{"title":"A New \"Tube-in-tube\" Method to Extend Glaucoma Drainage Devices Using Paul Glaucoma Implant.","authors":"Tasmin Berman, Leon Au","doi":"10.5005/jp-journals-10078-1430","DOIUrl":"10.5005/jp-journals-10078-1430","url":null,"abstract":"<p><strong>Aim and background: </strong>To describe a novel and uncomplicated technique of elongating the tubing of a glaucoma drainage device (GDD) sourced from a segment of the tube from a Paul® Glaucoma Implant (PGI).</p><p><strong>Surgical technique: </strong>Conjunctival and Tenon's peritomy are performed with relaxing incisions to expose the original tube. The original tube is then removed from the anterior chamber, and the original entry site is closed. The tip of the original Baerveldt/Ahmed tubing is shortened to near the plate, and the lumen is stretched open using Burke's forceps (nontoothed to avoid damage to the tubing) while the appropriate length of the Paul tube was being pushed inside and is secure without the need for any suturing. The new smaller Paul tube is then inserted back into the anterior chamber using a 26-gauge tract. An 8-0 Ethilon® was then used to secure the tube to the sclera, and TISSEL® was used to secure it (Baxter, United States). Depending on the positioning, either the original Tutoplast® pericardium or new double-layered Tutoplast® can be placed over the tube to prevent erosion. The Tenon's and conjunctiva were then closed to secure the conjunctival and Tenon's back in their original position at the limbus, and the radial conjunctival incisions can be closed using TISSEL® fibrin glue or further sutures if required.</p><p><strong>Conclusion: </strong>This method offers several benefits over previously documented techniques; it avoids significant bulkiness, and the elongated tube conforms to the curvature of the globe owing to the suitable rigidity of the extended section. The additional tubing segment fits securely without the need for sutures. Introducing a smaller diameter tube into the anterior chamber in comparison to other GDDs minimizes the surface area between the tube and corneal endothelium, therefore decreasing the rate of potential endothelium cell loss.</p><p><strong>Clinical significance: </strong>This novel \"tube-in-tube\" technique is efficient, safe, and straightforward to perform. It eliminates the need for alterations in glaucoma medication since the PGI is not thought to offer any flow resistance.</p><p><strong>How to cite this article: </strong>Berman T, Au L. A New \"Tube-in-tube\" Method to Extend Glaucoma Drainage Devices Using Paul Glaucoma Implant. J Curr Glaucoma Pract 2024;18(3):130-133.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"18 3","pages":"130-133"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reversing Aging and Improving Health Span in Glaucoma Patients: The Next Frontier?","authors":"Tanuj Dada, Karthikeyan Mahalingam, Shibal Bhartiya","doi":"10.5005/jp-journals-10078-1451","DOIUrl":"10.5005/jp-journals-10078-1451","url":null,"abstract":"<p><p><b>How to cite this article:</b> Dada T, Mahalingam K, Bhartiya S. Reversing Aging and Improving Health Span in Glaucoma Patients: The Next Frontier? J Curr Glaucoma Pract 2024;18(3):87-93.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"18 3","pages":"87-93"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Ramesh, P. Sathyan, Ashik Azad, A. Devadas, Tejaswi Ragolu, S. Ramesh, M. Ramesh, R. Rajasekaran
{"title":"Managing Pigment Dispersion Glaucoma Postbilateral ICL Implantation in High Myopia: A Case Report on the Crucial Role of Gonioscopy in Correcting a Misdiagnosis","authors":"P. Ramesh, P. Sathyan, Ashik Azad, A. Devadas, Tejaswi Ragolu, S. Ramesh, M. Ramesh, R. Rajasekaran","doi":"10.5005/jp-journals-10078-1433","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1433","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"30 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140363531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suresh Kumar, S. Bhartiya, P. Ichhpujani, Surbhi Kapoor, Uday Pratap Singh Parmar, Sonali Kaundal
{"title":"Glaucoma Drug Prescription Pattern in North India: Public vs Private Sector Hospitals","authors":"Suresh Kumar, S. Bhartiya, P. Ichhpujani, Surbhi Kapoor, Uday Pratap Singh Parmar, Sonali Kaundal","doi":"10.5005/jp-journals-10078-1438","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1438","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"30 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140364436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saurabh Verma, Tanuj Dada, A. N. Bukke, Ayushi Agarwal, Nitika Beri, Saloni Une
{"title":"Early Drainage of Suprachoroidal Hemorrhage Combined with Surgical Correction of Hypotony after Trabeculectomy","authors":"Saurabh Verma, Tanuj Dada, A. N. Bukke, Ayushi Agarwal, Nitika Beri, Saloni Une","doi":"10.5005/jp-journals-10078-1429","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1429","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"51 50","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140362926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analyzing the Shortcomings of Trabecular Micro-bypass Stents for Surgical Management of Glaucoma","authors":"Tanuj Dada, Nitika Beri","doi":"10.5005/jp-journals-10078-1439","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1439","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"31 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140361993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anny M.S. Cheng, Geetha G Vedula, Aarup Kubal, Jillene Moxam, D. T. Yang, Shailesh K Gupta
{"title":"Urrets–Zavalia Syndrome of Unresolving Mydriasis Following Endocyclophotocoagulation Combined with Phacoemulsification","authors":"Anny M.S. Cheng, Geetha G Vedula, Aarup Kubal, Jillene Moxam, D. T. Yang, Shailesh K Gupta","doi":"10.5005/jp-journals-10078-1431","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1431","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"52 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140362902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. E. Sponsel, Jeffrey M Griffin, Grant T Slagle, Truong A Vu, Ainsley Eis
{"title":"Prospective Comparison of VisuALL Virtual Reality Perimetry and Humphrey Automated Perimetry in Glaucoma","authors":"W. E. Sponsel, Jeffrey M Griffin, Grant T Slagle, Truong A Vu, Ainsley Eis","doi":"10.5005/jp-journals-10078-1434","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1434","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"19 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140361461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Rare Case of Postoperative Uveitis and Obstructive Peripheral Anterior Synechiae Following Combined OMNI Canaloplasty and Hydrus Microstent Implantation","authors":"Jella An, Jason Dossantos","doi":"10.5005/jp-journals-10078-1436","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1436","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"58 30","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140362472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Dorairaj, Leticia A Checo, Isabella V. Wagner, A. Ahuja
{"title":"Clinical Outcomes of MicroPulse Transscleral Laser Therapy with the Revised P3 Delivery Device","authors":"S. Dorairaj, Leticia A Checo, Isabella V. Wagner, A. Ahuja","doi":"10.5005/jp-journals-10078-1427","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1427","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"25 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140362341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}