Patch grafts of dehydrated cadaveric dura mater for tube-shunt glaucoma surgery

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70 Scopus citations


Human donor sclera is commonly used in glaucoma surgery with a tube-shunt (eg, Molteno, Baerveldt, Shocket, Krupin-Denver) to cover the external portion of the silicone tube and prevent its erosion through the overlying conjunctiva. Common problems with this technique include immune-mediated melting of the graft and the potential for infectious disease transmission by the grafted material. A case is presented of a patient in whom a low-grade iridocyclitis was associated with the gradual melting of a scleral patch graft; the scleral patch was then replaced with commercially available, dehydrated human dura mater. The practical and theoretical advantages of cadaveric human dura mater in tube-shunt glaucoma surgery are discussed.

Original languageEnglish (US)
Pages (from-to)1436-1439
Number of pages4
JournalArchives of Ophthalmology
Issue number10
StatePublished - 1993

ASJC Scopus subject areas

  • Ophthalmology


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