Upper Eyelid Splitting to Facilitate the Insertion of Glaucoma Drainage Devices

Lorraine M Provencher; Keith D Carter; Jeffrey A Nerad; Wallace L M Alward

doi:10.1097/IJG.0000000000000789

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Upper Eyelid Splitting to Facilitate the Insertion of Glaucoma Drainage Devices

Journal article

Peer reviewed

Upper Eyelid Splitting to Facilitate the Insertion of Glaucoma Drainage Devices

Lorraine M Provencher, Keith D Carter, Jeffrey A Nerad and Wallace L M Alward

Journal of glaucoma, Vol.26(11), pp.e249-E251

11/2017

DOI: 10.1097/IJG.0000000000000789

PMID: 28930886

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Abstract

To describe a new application for vertical splitting of the upper eyelid, a technique traditionally used for orbital access, to facilitate glaucoma drainage device (GDD) implantation in patients with poor surgical exposure. Case series. We present a case of Möbius syndrome with complete restriction of the extraocular muscles, followed by a case of cicatricial narrowing of the palpebral fissures due to chronic allergic dermatitis. Both patients had severe, medically uncontrolled glaucoma, but poor surgical exposure precluded implantation of a GDD. Both cases underwent vertical splitting of the upper eyelid, which allowed for adequate exposure of the superior globe quadrants and successful implantation of a GDD. A variety of congenital or acquired conditions result in narrowing of the palpebral fissure or restriction of extraocular motility. When these patients have concurrent advanced glaucoma, inadequate surgical exposure can impede necessary surgical intervention. Use of a vertical upper eyelid split technique allows for access to the superior globe and facilitates implantation of a GDD.

Humans

Intraocular Pressure - physiology

Postoperative Complications - surgery

Glaucoma Drainage Implants

Glaucoma - surgery

Mobius Syndrome - surgery

Young Adult

Female

Aged

Prosthesis Implantation - methods

Retrospective Studies

Glaucoma - physiopathology

Eyelids - surgery

Details

Title: Subtitle: Upper Eyelid Splitting to Facilitate the Insertion of Glaucoma Drainage Devices
Creators: Lorraine M Provencher - Department of Ophthalmology and Visual Sciences, The University of Iowa Hospitals and Clinics, Iowa City, IA †Cincinnati Eye Institute, Cincinnati, OH
Keith D Carter
Jeffrey A Nerad
Wallace L M Alward
Resource Type: Journal article
Publication Details: Journal of glaucoma, Vol.26(11), pp.e249-E251
Publisher: United States
DOI: 10.1097/IJG.0000000000000789
PMID: 28930886
ISSN: 1057-0829
eISSN: 1536-481X
Language: English
Date published: 11/2017
Academic Unit: Otolaryngology; Internal Medicine; Ophthalmology and Visual Sciences
Record Identifier: 9983980063102771

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