Krupin disk implantation for complicated glaucomas.

Abstract:

BACKGROUND:The Krupin Eye Valve with Disk (Krupin disk) is a glaucoma shunt that incorporates a slit valve intended to minimize early postoperative hypotony. METHODS:The medical records of all patients who have undergone Krupin disk implantation at the Doheny Eye Institute between July 1990 and December 1992 (25 eyes of 25 patients) were reviewed. RESULTS:Intraocular pressure (IOP) was reduced from a mean of 36.1 +/- 11.5 mmHg to 15.3 +/- 7.5 mmHg at follow-up intervals of 4 to 19 months (mean, 13.2 months). On the first postoperative day, IOPs ranged from 0 to 40 mmHg. In two eyes (8%), the IOP was less than 6 mmHg, and in five eyes (20%) the IOP was more than 21 mmHg. Serous choroidal effusion and/or choroidal hemorrhage occurred in seven patients (28%). Six- and 12-month life-table success rates (6 < or = IOP < or = 21 mmHg) were 84% and 66%, respectively. CONCLUSION:The Krupin disk lowers IOP in most patients; however, the presence of a slit valve does not eliminate either early postoperative hypotony with its attendant complications or early IOP spikes.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Fellenbaum PS,Almeida AR,Minckler DS,Sidoti PA,Baerveldt G,Heuer DK

doi

10.1016/s0161-6420(13)31724-2

subject

Has Abstract

pub_date

1994-07-01 00:00:00

pages

1178-82

issue

7

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(94)31190-0

journal_volume

101

pub_type

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