Khan Abdullah M, Abdalla Elsayed Maram E A, Malik Rizwan
Division of Pediatric Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Department of Ophthalmology, Jeddah Eye Hospital, Jeddah, Saudi Arabia.
Front Ophthalmol (Lausanne). 2024 May 31;4:1361898. doi: 10.3389/fopht.2024.1361898. eCollection 2024.
While the exchange of a superior valved glaucoma drainage device (GDD) for a non-valved GDD has been reported for achieving glaucoma control, inferior GDD exchange for improving the cosmetic appearance of the eyes due to poor appearance caused by encapsulated GDDs has not been previously documented. Here, we report on two patients with inferior valved GDDs who underwent an exchange for non-valved devices for glaucoma control and cosmetic improvement.
We report on the case of a 23-year-old gentleman and that of an 8-year-old girl, both of whom had inferior valved GDDs with uncontrolled intraocular pressure and unsightly appearance due to encapsulated GDD plates within the palpebral aperture. Both patients were unhappy about the appearance of their eyes. In each case, improvements in both glaucoma control and cosmesis were achieved by exchanging the valved GDDs for non-valved ones.
Exchanging a valved for a non-valved GDD might help improve the cosmetic appearance of the eyes, in addition to providing glaucoma control.
虽然已有报道称，更换为无瓣青光眼引流装置（GDD）可实现青光眼的控制，但此前尚无因包裹性GDD导致外观不佳而更换为低位GDD以改善眼部外观的相关记录。在此，我们报告两例接受低位带瓣GDD更换为无瓣装置以控制青光眼并改善外观的患者。
我们报告了一名23岁男性和一名8岁女孩的病例，他们均患有低位带瓣GDD，眼压控制不佳，且由于睑裂内包裹性GDD板导致外观不佳。两名患者均对自己眼睛的外观不满意。在每例病例中，通过将带瓣GDD更换为无瓣GDD，青光眼控制和美容效果均得到改善。
将带瓣GDD更换为无瓣GDD，除了能控制青光眼外，可能有助于改善眼部外观。
