{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:13:23Z","timestamp":1740165203160,"version":"3.37.3"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Ophthalmological Medicine"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. To report a new technique for anterior placement of tubes for glaucoma drainage devices to reduce the risk of tube erosions.<jats:italic>Methods<\/jats:italic>. Retrospective review of select cases of Ahmed Valve surgery combined with the novel method of a limbal-based scleral flap covered by a scleral patch graft to cover the tube at the entrance through the limbus. Intraoperative and postoperative illustrations are shown to highlight the method of tube placement.<jats:italic>Results<\/jats:italic>. In this retrospective case series, 3 patients are presented illustrating the technique. Two had neovascular glaucoma and one had primary open-angle glaucoma (POAG). On average, intraocular pressure was reduced from<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn fontstyle=\"italic\">39<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">14<\/mml:mn><\/mml:math>\u2009mmHg to<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mn fontstyle=\"italic\">15<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">2<\/mml:mn><\/mml:math>\u2009mmHg and the number of glaucoma medications was reduced from<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mn fontstyle=\"italic\">4<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">1<\/mml:mn><\/mml:math>to 0. Preoperative and most recent visual acuities were hand-motion (HM) and HM, 20\/60 and 20\/50, and 20\/70 and 20\/30, respectively.<jats:italic>Conclusion<\/jats:italic>. The combination of a limbal-based scleral flap with scleral patch graft to cover the tube with glaucoma drainage devices may be an effective means to reduce erosion and protect against endophthalmitis.<\/jats:p>","DOI":"10.1155\/2016\/2124581","type":"journal-article","created":{"date-parts":[[2016,9,25]],"date-time":"2016-09-25T17:00:28Z","timestamp":1474822828000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Combined Scleral Flap with Donor Scleral Patch Graft for Anterior Tube Placement in Glaucoma Drainage Device Surgery"],"prefix":"10.1155","volume":"2016","author":[{"given":"Jea H.","family":"Yu","sequence":"first","affiliation":[{"name":"Clinical Research, Retina Macula Institute, Torrance, CA, USA"},{"name":"University of California, Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuck","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Clinical Research, Retina Macula Institute, Torrance, CA, USA"},{"name":"University of California, Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esmeralda","family":"Gallemore","sequence":"additional","affiliation":[{"name":"Clinical Research, Retina Macula Institute, Torrance, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6116-6026","authenticated-orcid":true,"given":"Ron P.","family":"Gallemore","sequence":"additional","affiliation":[{"name":"Clinical Research, Retina Macula Institute, Torrance, CA, USA"},{"name":"University of California, Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(99)90500-6"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2009.163923"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2008.03.033"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.10.026"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2009.165357"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2004.049015"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0b013e31828992c3"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/ijg.0b013e3182447d83"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.sjopt.2012.02.011"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6701447"}],"container-title":["Case Reports in Ophthalmological Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criopm\/2016\/2124581.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criopm\/2016\/2124581.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criopm\/2016\/2124581.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,9,25]],"date-time":"2016-09-25T17:00:28Z","timestamp":1474822828000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criopm\/2016\/2124581\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":10,"alternative-id":["2124581","2124581"],"URL":"https:\/\/doi.org\/10.1155\/2016\/2124581","relation":{},"ISSN":["2090-6722","2090-6730"],"issn-type":[{"type":"print","value":"2090-6722"},{"type":"electronic","value":"2090-6730"}],"subject":[],"published":{"date-parts":[[2016]]}}}