{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:50:26Z","timestamp":1791359426171,"version":"4.3.1"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>Nonvalved glaucoma drainage devices (GDDs) carry a risk of early hypotony due to unregulated flow prior to capsule formation. Temporary flow restriction occurs through methods such as absorbable ligature sutures and intraluminal ripcords. Here, we propose an alternative approach, the Flanged Intraluminal Ripcord Element (FIRE) technique, that eliminates the need for a ligature suture and avoids the unpredictability associated with ligature autolysis. A patient case is discussed that demonstrated adequate prevention of hypotony and successful intraocular pressure reduction upon ripcord removal. The FIRE technique provides predictable flow control in the early postoperative period of nonvalved GDDs.<\/jats:p>","DOI":"10.4103\/ijo.ijo_2874_25","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:03:59Z","timestamp":1790690639000},"page":"1535-1537","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The FIRE technique \u2013 A tube ligation alternative"],"prefix":"10.4103","volume":"74","author":[{"given":"Roya","family":"Garakani","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, John A. Moran Eye Center, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Beckman","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Prism Eye Institute, Mississauga, Canada"},{"name":"Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqbal Ike K","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, John A. Moran Eye Center, University of Utah, Salt Lake City, UT, USA"},{"name":"Department of Ophthalmology, Prism Eye Institute, Mississauga, Canada"},{"name":"Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"R1-20261007","doi-asserted-by":"crossref","first-page":"e053805","DOI":"10.1136\/bmjopen-2021-053805","article-title":"Time trends, associations and prevalence of blindness and vision loss due to glaucoma: An analysis of observational data from the Global Burden of Disease Study 2017","volume":"12","author":"Sun","year":"2022","journal-title":"BMJ Open"},{"key":"R2-20261007","doi-asserted-by":"crossref","first-page":"1901","DOI":"10.1001\/jama.2014.3192","article-title":"The pathophysiology and treatment of glaucoma: A 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control","volume":"105","author":"Trible","year":"1998","journal-title":"Ophthalmology"},{"key":"R15-20261007","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/IJG.0000000000001133","article-title":"Scheduled postoperative ripcord removal in baerveldt 350 implants: A prospective, randomized trial","volume":"28","author":"An","year":"2019","journal-title":"J Glaucoma"}],"container-title":["Indian Journal of 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