The Effect of the Glaucoma Drainage Device implantation for Uveitic Glaucoma

1. Shun Kumashiro
2. Yuji Katayama
3. Tadashi Matsumoto
4. Hiroshi Watanabe
5. Tetsuo Tochikubo

Department of Ophthalmology, Toho University School of Medicine, Tokyo, Japan.

Purpose: Uveitic glaucoma is one of the secondary glaucoma.that is difficult to be controlled.　Filtering surgery was usually performed for them. However, there was a lot of cases who require the further surgery because of relapse of the inflammation. We report on three cases that GDD implantation was effective.Case 1: 64-year-old male patient with Posner Schlossman Syndrome．Trabeculectomy was done three times on his left eye, but intraocular pressure (IOP) cannot be controlled. Case 2: 32 year-old male patient with Sarcoidosis. He has already blindness of the left eye, and IOP of his right eye cannot be controlled because of frequently absorbed inflammation. Case 3: 67-year-old male patient with Sarcoidosis. IOP of his right eye cannot be controlled.Case1 has been followed for 36 months, Case2 and 3 has been followed for 16 months after the operation.

Methods: Double plate Molteno® implant （Molteno Ophthalmic) was used for Case1. Baeveldt® implant （AMO) was used for Case2 and 3.Main body of implantation was inserted in the superior temporal under the conjunctiva. The tip of tube was implanted anterior chamber angle.

Results：In all cases, IOP has been controlled from 10 to 20mmHg postoperation even if inflammation was continued 1~3months though the inflammation is repeated.

Conclusion：It seemed that GDD implantation is an effective treatment for uveitic glaucoma.