Abstract
When medical therapy fails to control intraocular pressure, the standard surgical approaches for treating glaucoma are trabeculectomy and aqueous shunt implantation. However, alternative surgical techniques and devices are being investigated in an effort to avoid the potentially serious complications associated with filtering procedures. In patients who have previously undergone incisional glaucoma surgery, surgical options may be particularly limited because of conjunctival scarring. One novel device that has gained significant interest is the Gold Shunt, a non-valved flat-plate drainage implant that diverts aqueous humor from the anterior chamber into the suprachoroidal space. Ideally, this ‘blebless’ procedure is less prone to the postoperative complications that can lead to failure in standard glaucoma surgeries and does not rely on conjunctival manipulation or integrity to form a bleb. This device profile reviews the current literature and evidence for Gold Shunt implantation in refractory glaucoma.
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