A Case Report Discussing The Options for Placement of Glaucoma Drainage Devices in the Presence of Corneal Decompensation

Abstract

Purpose: The purpose of this case report is to discuss how the various placements of glaucoma drainage implants relate to corneal decompensation. Method: A 58-year Hispanic female presented for evaluation of decreased vision in the left eye for 2 years. This is a case report of a patient who underwent a secondary surgery to replace the anterior tube shunt implantation with a posterior shunt implantation following development of severe corneal decompensation. Results: Glaucoma tube shunt implants inserted into the ciliary sulcus of pseudophakic eyes shield the cornea offering protection against decompensation and avoid the risk of posterior segment complications. Conclusions: Placement of glaucoma drainage implants into the ciliary sulcus in pseudophakic patients with shallow anterior chambers, abnormal irido-corneal anatomy, or those at risk for corneal decompensation is a safe and effective method of not only lowering the intraocular pressure but also protecting the cornea against decompensation. As primary eye care providers, optometrists need to know the various treatment options and adverse effects associated with each procedure.