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Gold shunt for refractory advanced low-tension glaucoma with spared central acuity

Authors Le R, Gupta N

Received 6 August 2015

Accepted for publication 22 December 2015

Published 18 March 2016 Volume 2016:9 Pages 69—72

DOI https://doi.org/10.2147/IMCRJ.S93849

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Juan Barajas-Gamboa

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Ryan Le,1 Neeru Gupta1–3

1Keenan Research Center, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON, Canada; 2Ophthalmology and Vision Sciences, Glaucoma Unit, St. Michael’s Hospital, University of Toronto, Toronto, ON, Canada; 3Laboratory Medicine and Pathobiology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada

Abstract: The aim of this study is to report a case of gold shunt surgery for uncontrolled, low-tension glaucoma with good central vision, after having a previously failed trabeculectomy and tube shunt surgeries. The patient was receiving maximum medical glaucoma therapy of four different types with intraocular pressure of 17 mm Hg prior to gold shunt surgery. Five years later, intraocular pressure is well controlled in the low teens without the need for ocular medications, and glaucoma is stable following gold shunt surgery.

Keywords: gold shunt, refractory glaucoma, glaucoma surgery, trabeculectomy, suprachoroidal space, tube shunt

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