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The authors overview surgical techniques for initial non-valved glaucoma drainage device tube placement and a glaucoma drainage device tube extension using polypropylene suture as a guide wire and stabiliser in paediatric patients. The detailed technique for tube placement and tube extension is discussed. Use of a 3-0 polypropylene suture facilitates efficient placement and extension of the drainage device tubes for both techniques. The authors propose this to be particularly useful in complex paediatric cases with obscure anatomy, poor visualisation, or tube retraction.

Placement and extension of glaucoma drainage devices using polypropylene suture in pediatric patients.
Patel AJ, McLaughlin DE, Chang TC, et al.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
Epub online ahead of print.
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Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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