Objective: To present a case series of patients who Inline - Wheels Street underwent surgical repair for glaucoma drainage device (GDD) tube exposure and conduct a systematic review to analyze results of various surgical techniques.Materials and Methods: This study provides the details of GDD tube exposure repair at our hospital.Additionally, a systematic review was conducted using electronic databases including EMBASE, MEDLINE, and CENTRAL.Data extraction and analysis included demographic information, surgical techniques, results, and duration of follow-up.
Results: We reported nine cases of GDD tube exposure repair, with additional 109 cases from 24 previous studies.One of our challenging cases encountered multiple tube revision failures by the patch graft technique; the exposure issue was sustainably resolved by a hinge scleral flap with buccal mucosal graft technique.Of the 118 cases, various surgical techniques were used, including patch grafts, hinge scleral flaps, primary conjunctival closure and rerouting.Among the cases, 61.
6% were classified as difficult cases.The overall first, fifth and thirteenth-year survival rate was 90.7%, 86.2% and 86.
2%, respectively.Rerouting and scleral flap/tunnel techniques Aquarium Supplies demonstrated the highest survival rate.No statistically significant differences in survival outcomes were observed among patch graft, scleral flap/tunnel and rerouting method (P = 0.129).
The mean survival duration was 33.54 months.The duration of follow-up was 35.01 months.
Conclusion: Surgical management of GDD tube exposure yields favorable outcomes.A hinge scleral flap with buccal mucosal grafts can be a good option to treat challenging cases.The findings can shape an algorithm to manage GDD tube exposure.