[Krupin's valve. Remarks on the surgery of glaucoma. Personal results apropos of 20 Krupin-Denver valves]. 1984

F Forestier, and A Salvanet-Bouccara

The literature concerning different kinds of draining implants used since the beginning of this century to increase the reliability of filtering operations to relieve glaucoma has been reviewed. The Krupin-Denver valve implant, which allows a filtration surgery with a pressure sensitive, unidirectional valve implant function drew the author's attention. This device consists in an open supramid tube sealed to a silastic tube ending with a slit valve which opens under a 11 to 14 mmHg intra ocular pressure. The supramid tube is inserted 1 to 4 mm long into the anterior chamber from the corneoscleral limbus, and the silastic tube is set under a scleral flap. Personal results are exposed from february 1981 to december 1983, 15 eyes have been treated (5 neovascular glaucomas, 5 glaucomas in aphakia, 4 congenital glaucomas and one chronic glaucoma). After mean follow up time of 13 months (1 to 34 months), the Krupin valve insertion controls the intraocular pressure in 14 eyes, without antiglaucoma medication in 5, and 7 cases are controlled with an additional local therapy, and further 2 cases with a general treatment. In the discussion, the improvements brought by this valve implant are studied facing the three great reasons of failure in the filtering operations as defined in 1980 by Molteno and Cairns: immediate post surgical hypotony, blockage of the internal end of the draining fistula, blockage of the external end of the draining fistula.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D009389 Neovascularization, Pathologic A pathologic process consisting of the proliferation of blood vessels in abnormal tissues or in abnormal positions. Angiogenesis, Pathologic,Angiogenesis, Pathological,Neovascularization, Pathological,Pathologic Angiogenesis,Pathologic Neovascularization,Pathological Angiogenesis,Pathological Neovascularization
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D004322 Drainage The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D005901 Glaucoma An ocular disease, occurring in many forms, having as its primary characteristics an unstable or a sustained increase in the intraocular pressure which the eye cannot withstand without damage to its structure or impairment of its function. The consequences of the increased pressure may be manifested in a variety of symptoms, depending upon type and severity, such as excavation of the optic disk, hardness of the eyeball, corneal anesthesia, reduced visual acuity, seeing of colored halos around lights, disturbed dark adaptation, visual field defects, and headaches. (Dictionary of Visual Science, 4th ed) Glaucomas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000867 Anterior Chamber The space in the eye, filled with aqueous humor, bounded anteriorly by the cornea and a small portion of the sclera and posteriorly by a small portion of the ciliary body, the iris, and that part of the crystalline lens which presents through the pupil. (Cline et al., Dictionary of Visual Science, 4th ed, p109) Anterior Chambers,Chamber, Anterior,Chambers, Anterior
D001036 Aphakia, Postcataract Absence of the crystalline lens resulting from cataract extraction. Aphakic Eye, Postcataract,Aphakias, Postcataract,Postcataract Aphakia,Postcataract Aphakias,Postcataract Aphakic Eye,Postcataract Aphakic Eyes

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