Primary valve malfunction of the Krupin eye valve with disk

John C. Burchfield, Michael A. Kass, Martin B. Wax

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Purpose: To examine the management and possible causes of primary valve malfunction of the Krupin eye valve with disk. Methods: The authors reviewed the results of 113 patients undergoing implantation of the Krupin eye valve with disk and identified eight patients with primary valve malfunction requiring surgical revision. Results: Valve revision involved manipulation (n = 1 case), explantation of the malfunctioning valve and implantation of a new valve (n = 2), and amputation of the valve (n = 5). Six of eight patients had final intraocular pressures of < 21 mmHg on one or no medications at a mean interval of 15.9 months (range 5-36) after surgical revision. Transient postoperative hypotony was noted in three patients and chronic hypotony with loss of light perception in one patient. One explanted valve was examined and found to have partially fused leaflets. Conclusions: Surgical revision in cases of primary valve malfunction of the Krupin eye valve with disk may be accomplished relatively safely with an acceptable level of postoperative complications. The etiology of primary valve malfunction may be related to the sterilization process and prolonged storage before implantation.

Original languageEnglish (US)
Pages (from-to)152-156
Number of pages5
JournalJournal of Glaucoma
Volume6
Issue number3
DOIs
StatePublished - Jun 1997

Keywords

  • Glaucoma drainage implants
  • Krupin valve
  • Surgical complications

ASJC Scopus subject areas

  • Ophthalmology

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