We have located links that may give you full text access.
How Many Fenestrations Should I Make When Placing a Baerveldt Glaucoma Implant? A Laboratory Study.
PURPOSE: This study investigates the effect of one versus two fenestrations on both fluid egress and opening pressure from a non-valved glaucoma implant.
METHODS: In this laboratory study, we used an in vitro closed system comprised of ligated silicone tubing connected to a fluid reservoir and manometer to simulate the tubing found in a Baerveldt glaucoma drainage implant. Fenestrations were created using an 8-0 Vicryl TG140-8 suture needle. Main outcome measures included volume of fluid egress and fenestration opening pressures, which were measured via micropipette and increasing pressure until fluid egress was observed.
RESULTS: No significant difference was observed in fluid egress between tubing with one versus two fenestrations at pressures ≤40 mmHg. At 50 mmHg, a statistically significant difference was observed in fluid egress between tubing with one versus two fenestrations ( P < 0.05). The first fenestration opened at 10.5 ± 3.77 mmHg and the second fenestration opened at 28.83 ± 5.09 mmHg (average ± standard deviation).
CONCLUSION: Our in vitro findings suggest there may exist a critical pressure >40 mmHg at which the second fenestration starts to play a significant role in fluid drainage. There may be no difference in the amount of fluid egress and effect on intraocular pressure between one or two tube fenestrations when preoperative intraocular pressure is ≤40 mmHg.
METHODS: In this laboratory study, we used an in vitro closed system comprised of ligated silicone tubing connected to a fluid reservoir and manometer to simulate the tubing found in a Baerveldt glaucoma drainage implant. Fenestrations were created using an 8-0 Vicryl TG140-8 suture needle. Main outcome measures included volume of fluid egress and fenestration opening pressures, which were measured via micropipette and increasing pressure until fluid egress was observed.
RESULTS: No significant difference was observed in fluid egress between tubing with one versus two fenestrations at pressures ≤40 mmHg. At 50 mmHg, a statistically significant difference was observed in fluid egress between tubing with one versus two fenestrations ( P < 0.05). The first fenestration opened at 10.5 ± 3.77 mmHg and the second fenestration opened at 28.83 ± 5.09 mmHg (average ± standard deviation).
CONCLUSION: Our in vitro findings suggest there may exist a critical pressure >40 mmHg at which the second fenestration starts to play a significant role in fluid drainage. There may be no difference in the amount of fluid egress and effect on intraocular pressure between one or two tube fenestrations when preoperative intraocular pressure is ≤40 mmHg.
Full text links
Related Resources
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app