Abstract
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 language | English (US) |
|---|---|
| Pages (from-to) | 1436-1439 |
| Number of pages | 4 |
| Journal | Archives of Ophthalmology |
| Volume | 111 |
| Issue number | 10 |
| State | Published - 1993 |
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ASJC Scopus subject areas
- Ophthalmology
Cite this
Patch grafts of dehydrated cadaveric dura mater for tube-shunt glaucoma surgery. / Brandt, James D.
In: Archives of Ophthalmology, Vol. 111, No. 10, 1993, p. 1436-1439.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Patch grafts of dehydrated cadaveric dura mater for tube-shunt glaucoma surgery
AU - Brandt, James D
PY - 1993
Y1 - 1993
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0027484587&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0027484587&partnerID=8YFLogxK
M3 - Article
C2 - 8216025
AN - SCOPUS:0027484587
VL - 111
SP - 1436
EP - 1439
JO - JAMA Ophthalmology
JF - JAMA Ophthalmology
SN - 2168-6165
IS - 10
ER -