DR. SATISH SHET

, Dr.Jagdeep M. Kakadia, Dr. RAMESH C.SHAH

Abstract

A biocompatible platinum cured silicone GDD ( FDA approved) ( patent pending ) drains into retrobulbar space

A conjuncival peritomy is made extending 3 clock hrs .A L- shaped conjunctival incision is made at limbus and after a blunt dissection vectis is inserted to reach about 40mm into retrobulbar space . Gentle cautery is used .oblique partial thickness scleral tunnel is made by an angled MVR blade about7-8mm from the limbus and the bevelled end is inserted into the scleral tunnel which is partly filled with 2% HPMC . The valved end of the tube is inserted into the retrobulbar space, bevelled end of the tube is inserted through another partial thickness scleral tunnel about 2-3mm from limbus with MVR blade which opens into the AC and wound closed.

Results -100% success rate with IOP 10-12mmHg achieved in all cases .

Conclusion – A simple cost effective tube shunt with minimal learning curve can be a boon to general ophthalmologists to manage intractable glaucomas.