Short-Term Outcomes of KeraSys Patch Graft for Glaucoma Drainage Devices: A Case Series

Purpose. Tube-related exposure is a known complication of glaucoma drainage device (GDD) surgery. Our objective is to report the early (approximately 1 year) tube exposure rate of implants covered with a keraSys (IOP Inc., Costa Mesa, CA, USA) tissue reinforcement graft. Patients and Methods. A retr...

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Main Authors: Kundandeep S. Nagi, Ricardo J. Cumba, Nicholas P. Bell, Lauren S. Blieden, Alice Z. Chuang, Kimberly A. Mankiewicz, Donna Nguyen, Robert M. Feldman
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2013/784709
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author Kundandeep S. Nagi
Ricardo J. Cumba
Nicholas P. Bell
Lauren S. Blieden
Alice Z. Chuang
Kimberly A. Mankiewicz
Donna Nguyen
Robert M. Feldman
author_facet Kundandeep S. Nagi
Ricardo J. Cumba
Nicholas P. Bell
Lauren S. Blieden
Alice Z. Chuang
Kimberly A. Mankiewicz
Donna Nguyen
Robert M. Feldman
author_sort Kundandeep S. Nagi
collection DOAJ
description Purpose. Tube-related exposure is a known complication of glaucoma drainage device (GDD) surgery. Our objective is to report the early (approximately 1 year) tube exposure rate of implants covered with a keraSys (IOP Inc., Costa Mesa, CA, USA) tissue reinforcement graft. Patients and Methods. A retrospective, noncomparative, consecutive case series of 42 eyes with GDD implantation with keraSys patch grafts was performed. Main outcome measurements included patch-related complications: patch exposure, tube exposure, wound dehiscence, and patch migration. Results. Forty-two eyes were followed for an average of 15.24±10.44 months (range 1.0–32.3 months). Four (10%) eyes experienced patch-related complications: two with exposure 8 months postoperatively, one with exposure 13 months postoperatively, and one with exposure 4 weeks postoperatively. Conclusion. The effectiveness of the keraSys patch graft is limited by the higher than expected early exposure rate found in this case series. These results should be confirmed in other studies.
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institution Kabale University
issn 2090-004X
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publishDate 2013-01-01
publisher Wiley
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series Journal of Ophthalmology
spelling doaj-art-dbec6874f9384a83b8e0cf49e0391d002025-02-03T01:23:03ZengWileyJournal of Ophthalmology2090-004X2090-00582013-01-01201310.1155/2013/784709784709Short-Term Outcomes of KeraSys Patch Graft for Glaucoma Drainage Devices: A Case SeriesKundandeep S. Nagi0Ricardo J. Cumba1Nicholas P. Bell2Lauren S. Blieden3Alice Z. Chuang4Kimberly A. Mankiewicz5Donna Nguyen6Robert M. Feldman7Ruiz Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, 6431 Fannin Street, MSB 7.024, Houston, TX 77030, USARuiz Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, 6431 Fannin Street, MSB 7.024, Houston, TX 77030, USARuiz Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, 6431 Fannin Street, MSB 7.024, Houston, TX 77030, USARuiz Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, 6431 Fannin Street, MSB 7.024, Houston, TX 77030, USARuiz Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, 6431 Fannin Street, MSB 7.024, Houston, TX 77030, USARuiz Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, 6431 Fannin Street, MSB 7.024, Houston, TX 77030, USARuiz Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, 6431 Fannin Street, MSB 7.024, Houston, TX 77030, USARuiz Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, 6431 Fannin Street, MSB 7.024, Houston, TX 77030, USAPurpose. Tube-related exposure is a known complication of glaucoma drainage device (GDD) surgery. Our objective is to report the early (approximately 1 year) tube exposure rate of implants covered with a keraSys (IOP Inc., Costa Mesa, CA, USA) tissue reinforcement graft. Patients and Methods. A retrospective, noncomparative, consecutive case series of 42 eyes with GDD implantation with keraSys patch grafts was performed. Main outcome measurements included patch-related complications: patch exposure, tube exposure, wound dehiscence, and patch migration. Results. Forty-two eyes were followed for an average of 15.24±10.44 months (range 1.0–32.3 months). Four (10%) eyes experienced patch-related complications: two with exposure 8 months postoperatively, one with exposure 13 months postoperatively, and one with exposure 4 weeks postoperatively. Conclusion. The effectiveness of the keraSys patch graft is limited by the higher than expected early exposure rate found in this case series. These results should be confirmed in other studies.http://dx.doi.org/10.1155/2013/784709
spellingShingle Kundandeep S. Nagi
Ricardo J. Cumba
Nicholas P. Bell
Lauren S. Blieden
Alice Z. Chuang
Kimberly A. Mankiewicz
Donna Nguyen
Robert M. Feldman
Short-Term Outcomes of KeraSys Patch Graft for Glaucoma Drainage Devices: A Case Series
Journal of Ophthalmology
title Short-Term Outcomes of KeraSys Patch Graft for Glaucoma Drainage Devices: A Case Series
title_full Short-Term Outcomes of KeraSys Patch Graft for Glaucoma Drainage Devices: A Case Series
title_fullStr Short-Term Outcomes of KeraSys Patch Graft for Glaucoma Drainage Devices: A Case Series
title_full_unstemmed Short-Term Outcomes of KeraSys Patch Graft for Glaucoma Drainage Devices: A Case Series
title_short Short-Term Outcomes of KeraSys Patch Graft for Glaucoma Drainage Devices: A Case Series
title_sort short term outcomes of kerasys patch graft for glaucoma drainage devices a case series
url http://dx.doi.org/10.1155/2013/784709
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