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Surgical outcomes of superotemporal vs inferonasal placement of aurolab aqueous drainage implant in refractory pediatric glaucoma

American Journal of Ophthalmology Dec 14, 2020

Puthuran GV, Wijesinghe HK, Gedde SJ, et al. - Researchers conducted this retrospective study for describing the outcomes of the Aurolab Aqueous Drainage Implant (AADI) placed in the superotemporal (ST) vs the inferonasal (IN) quadrant in pediatric eyes with refractory glaucoma. The sample consisted of patients age 18 years and younger who underwent AADI implantation and completed a minimum of 2-year follow-up. In total, 144 patients (144 eyes) underwent AADI placement, including 48 eyes (33%) in the IN and 96 eyes (67%) in the ST quadrants. Placing AADI in the ST quadrant has improved IOP-related outcomes and is a better surgical choice in pediatric eyes compared with the IN quadrant. Unless the ST location is not a viable choice, it may be wise to avoid AADI in the IN quadrant in children.

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