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The Glaucoma Drainage Devices: Types and Models

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Abstract

Glaucoma drainage devices are designed to divert aqueous humor from the anterior chamber to the subconjunctival space. In 1912 the first attempt was made by Zorab [1] with a silk thread for translimbal aqueous drainage, and subsequently attempts were made with gold [2], platinum [3], and tantalum [4], but the results were poor because of uncontrolled flow, hypotony, and foreign body inflammatory reaction. Molteno in 1969 introduced the concept of a device that consisted of a long acrylic tube attached to an acrylic plate sutured to the sclera adjacent to the limbus, but this had a high failure rate due to bleb perforation or end plate exposure [5]. In 1973 Molteno introduced the concept of draining the aqueous away from the limbus [6], placing the end plate at the equatorial region, and all of the currently available glaucoma drainage devices are based on this concept.

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Sharma, B., Gandhi, M., Yadava, U. (2019). The Glaucoma Drainage Devices: Types and Models. In: Gandhi, M., Bhartiya, S. (eds) Glaucoma Drainage Devices. Springer, Singapore. https://doi.org/10.1007/978-981-13-5773-2_3

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  • DOI: https://doi.org/10.1007/978-981-13-5773-2_3

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-5772-5

  • Online ISBN: 978-981-13-5773-2

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