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Part of book or chapter of book . 2025 . Peer-reviewed
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Glaucoma Drainage Implants for Uveitic Glaucoma

Authors: Gianluca Besozzi; Michele Santoro; Flavio Cassano; Milena L’Abbate; Maria Carmela Costa;

Glaucoma Drainage Implants for Uveitic Glaucoma

Abstract

Uveitic glaucoma (UG) is a complex secondary glaucoma caused by intraocular inflammation that disrupts aqueous humor drainage, leading to increased intraocular pressure (IOP) and potential vision loss. While medical therapy is the first-line treatment, glaucoma drainage implants (GDIs) become essential when pharmacologic management fails. Common GDIs, including the Ahmed Glaucoma Valve (AGV), Baerveldt Glaucoma Implant (BGI), and Molteno implant, play a critical role, particularly in cases with chronic inflammation. Successful GDI surgery requires meticulous preoperative planning, with strict inflammation control being paramount. Device selection is crucial, with valved implants (e.g., Ahmed Glaucoma Valve) often preferred for better IOP regulation and lower hypotony risk. Surgical techniques must consider conjunctival handling, incision approach, and implant positioning to optimize outcomes. Postoperative management focuses on inflammation control, IOP monitoring, and wound healing. Potential complications, such as hypotony, a hypertensive phase, tube occlusion, erosion, and infection, necessitate prompt intervention. Advancements in surgical approaches, including novel biomaterials, microshunts, minimally invasive glaucoma surgery (MIGS), and drug-eluting implants, aim to enhance safety and efficacy. GDIs remain a cornerstone in the management of uveitic glaucoma, necessitating individualized treatment strategies and continued innovation.

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    popularity
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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
hybrid