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Chapter-48 Pars Plana AGV Implantation

BOOK TITLE: Surgical Techniques in Ophthalmology: Glaucoma Surgery

Author
1. Dada Tanuj
2. Bhartiya Shibal
ISBN
9788184489583
DOI
10.5005/jp/books/11383_48
Edition
1/e
Publishing Year
2010
Pages
6
Author Affiliations
1. RP Center of Ophthalmology, AIIMS, Ansari Nagar, New Delhi-110029, India, Dr RP Centre for Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Dr RP Centre for Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi, Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Clinical Ophthalmology, Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India, Dr R P Centre for Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi, India, Dr RP Centre for Ophthalmic, Sciences, AIIMS, Ansari Nagar, New Delhi-110 029, India, Dr RP Center for Ophthalmic Sciences, AIIMS, New Delhi, RP Centre for Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, All India Institute of Medical Sciences New Delhi, India, Dr RP Center for Ophthalmic Sciences, AIIMS, New Delhi, India, Dr. R.P. Centre for Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi, India, Dr RP Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, RP Center of Ophthalmic Sciences, AIIMS, Ansari Nagar, Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, India, All India Institute of Medical Sciences, New Delhi, India, RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, RP Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, RP Centre for Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi-110029, India
2. Dr RP Centre for Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi, India, Clinical Ophthalmology, Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India, Dr RP Center for Ophthalmic Sciences, AIIMS, New Delhi, India, Fortis Memorial Research Institute, Gurgaon, Haryana, India, Dr RP Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Fortis Memorial Research Institute, Gurgaon, Haryana, India, Fortis Flt Lt Rajan Hospital, New Delhi, India, Fortis Memorial Research Institute, Gurugram, Haryana, India, Dr Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Dr RP Centre for Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi-110029, India, Dr RP Centre for Ophthalmic Sciences, AIIMS, Ansari Nagar New Delhi, India, Fortis Memorial Research Institute, Gurugram, Haryana; and Fortis Flt Lt Rajan Dhall Hospital, New Delhi, India
Chapter keywords
pars plana AGV, refractory glaucomas, corneal decompenzation, postpenetrating keratoplasty, postvitrectomy, post-traumatic glaucomas, corneal traction suture

Abstract

The pars plana AGV is indicated in all kinds of refractory glaucomas with a compromised endothelial count as it reduces the risk of corneal decompenzation because of tube cornea touch. These include aphakic, neovascular, post-penetrating keratoplasty, postvitrectomy, inflammatory and post-traumatic glaucomas. Surgical technique, corneal traction suture, conjunctival flap, priming the AGV, suturing the AGV, trimming the tube, and tube insertion are discussed. Patch graft, suturing the flap, AC paracentesis, infusion, triamcinolone assisted vitrectomy, and advantages of triamcinolone assisted vitrectomy are explained. Review of literature is presented.

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