Survey of Ophthalmology
Volume 50, Issue 1 , Pages 48-60, January 2005

Glaucoma drainage devices: a systematic literature review and current controversies

  • Chian-Huey Hong, MD

      Affiliations

    • Department of Ophthalmology, Tulane School of Medicine, Tulane University, New Orleans, Louisiana
    • ,
  • Analisa Arosemena, MD

      Affiliations

    • Department of Ophthalmology, Tulane School of Medicine, Tulane University, New Orleans, Louisiana
    • ,
  • David Zurakowski, PhD

      Affiliations

    • Department of Biostatistics, Children's Hospital, Harvard Medical School, Boston, Massachusetts
    • ,
  • Ramesh S. Ayyala, MD, FRCS, FRCOphth

      Affiliations

    • Department of Ophthalmology, Tulane School of Medicine, Tulane University, New Orleans, Louisiana

MARCO ZARBIN AND DAVID CHU, EDITORS

Abstract 

Glaucoma drainage devices create alternate aqueous pathways by channeling aqueous from the anterior chamber through a long tube to an equatorial plate that promotes bleb formation. Glaucoma drainage devices are being used more frequently in the treatment of glaucoma that does not respond to medications or trabeculectomy operations. In certain conditions, such as neovascular glaucoma, iridio-corneal syndrome, penetrating keratoplasty with glaucoma, glaucoma following retinal detachment surgery, and so on, it is becoming the primary operation. This review provides a systematic review of the literature and outlines the current controversies involving different glaucoma drainage devices and their design, overall surgical success, and complications following glaucoma drainage device insertion.

Key words: aqueous shunts, drainage device, glaucoma, implant, valve

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 The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article. Presented as a poster at the Association for Research in Vision and Ophthalmology, Fort Lauderdale, FL, 2001, and supported, in part, by the Tulane Glaucoma Research Fund.No reprints will be available from the authors.

PII: S0039-6257(04)00161-4

doi:10.1016/j.survophthal.2004.10.006

Survey of Ophthalmology
Volume 50, Issue 1 , Pages 48-60, January 2005

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