Glaucoma Tube Shunt Procedures

Glaucoma is the leading cause of irreversible blindness worldwide. Appropriate treatment for glaucoma will prevent loss of sight in the majority of patients whose condition is detected early or are at risk of developing it. Glaucoma service at Advanced Eye Hospital and Institute (AEHI), Sanpada near Vashi station in Navi Mumbai is dedicated to the care and treatment of people who have glaucoma. Glaucoma service at AEHI offers sophisticated, state-of-the-art diagnostic facilities. AEHI provides a team of fellowship trained Glaucoma specialist, ophthalmologists, diagnostic equipment such as slit lamps,GAT, Gonioscope, Perimetry, Fundus camera, OCT. We have facilities for advanced laser and surgical procedures to control Glaucoma such as trabeculectomy, tube implants, non-penetrating glaucoma surgeries, surgery for congenital glaucoma and different lasers for glaucoma management.

Dr. Rajesh Mishra is accomplished fellowship trained Glaucoma specialist in sanpada, navi Mumbai. He has super speciality training in Glaucoma and Phacoemulsification, from south India based premier eye care institutes (Aravind eye hospital, Eye foundation, Sankara eye hospital).

What is a tube or shunt or drainage device?
Glaucoma tubes come in many different varieties (ie. Ahmed, Molteno, Baerveldt, Krupin,etc.). However, all tubes or glaucoma shunts are devices that are implanted in the eye and provide an artificial alternative drainage site for fluid from the eye.

When is a tube shunt procedure indicated?
Glaucoma tube or shunt surgery may be needed in patients with glaucoma that is not controlled by medications and/or laser treatment. It may be needed either after failure of previous trabeculectomy surgery (or surgeries) or in certain types of glaucoma where traditional trabeculectomy surgery would almost certainly fail. Common situations where the use of a glaucoma implant as a primary procedure is indicated include

· Neovascular glaucoma – glaucoma associated with vascular disease of the eye (often diabetes).

· Cases of Uveitis – acute or chronic inflammation of the eye.

· Traumatic glaucoma – glaucoma associated with injury to the eye.

· Silicone glaucoma – glaucoma due to Silicone used to repair a detached retina.

· Infantile/Juvenile glaucoma – often associated with developmental defects of the eye.

What are the types of tube shunt?

Aqueous shunts can be classified as valved and non-valved.

Valved

Krupin shunt

Ahmed valve shunt

Non-Valved Devices

Molteno shunt

Baerveldt shunt

Newer Shunt Devices

Optonol Ex-PRESS shunt

Solx DeepLight Gold Micro-Shunt

What is done during the tube or shunt procedure?
Usually, a small incision is made near the top of eye underneath the conjunctiva, the thin outer covering of the eye. The body of the shunt device lies over the top of the eye but underneath the outer covering of the eye. After the body of the device is sutured to the surface of the eye, the tube, which extends from the body of the device, is inserted into the eye's anterior chamber. The anterior chamber is the front part of the eye that usually drains fluid from the eye. Although the device is sutured onto the top of the eye, it is completely covered by the eye's white outer covering, the conjunctiva. Most, if not all, of the device will not be visible behind the upper eyelid after the surgery

Will my glaucoma be cured with the glaucoma tube device?
No. Any vision that is already lost prior to the surgery, in general, will not return. Tube shunt surgery only lowers your eye pressure. By lowering the eye pressure, the goal is to either stop or slow down your loss of vision. Sometimes this goal is not possible.

Can I stop my eye drops after the surgery?

You will definitely need eye drops for few months after the surgery. Some people do not have to take eye drops after that period. Many people will eventually need some glaucoma eye drops to keep their pressure under control. The need for eye drops after tube shunt surgery varies greatly and is determined by your type of glaucoma and the rate it is progressing.

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The General Ophthalmology service at Advanced Eye Hospital and Institute (AEHI) located at Sanpada near Vashi station in Navi Mumbai, takes care of patients with cataracts and general diseases, performs comprehensive eye care management. Dr. Rajesh Mishra is accomplished fellowship trained Glaucoma specialist in Sanpada and is one of the best glaucoma and cataract specialists in Navi Mumbai. He has super speciality training in Glaucoma and Phacoemulsification, from south India based premier eye care institutes (Aravind eye hospital, Eye foundation, Sankara eye hospital).

Glaucoma service at Advanced Eye Hospital and Institute (AEHI), Sanpada near Vashi station in Navi Mumbai is dedicated to the care and treatment of people who have glaucoma. Glaucoma service at offers sophisticated, state-of-the-art diagnostic facilities. AEHI provides a team of fellowship trained Glaucoma specialist, ophthalmologists, diagnostic equipment such as slit lamps, GAT, Gonioscopy, Perimetry, Fundus camera, OCT. We have facilities for advanced laser and surgical procedures to control Glaucoma such as trabeculectomy, tube implants, non-penetrating glaucoma surgeries, surgery for congenital glaucoma and different lasers for glaucoma management.

Call us at 02267313636, we are open from Monday- Saturday 9:30am-7pm.

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