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

Abstract

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, CanadaAbstract: 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

Keywords

• gold shunt
• refractory glaucoma
• glaucoma surgery
• trabeculectomy
• suprachoroidal space
• tube shunt