How do you approach tube shunt placement in very high myopes with thin sclera?

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Would you consider a no-sew technique for tube placement in very high myopes with thin sclera?

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1 Answer

Mednet MemberInvited Expert

Ophthalmology · Wills Eye Glaucoma Care Specialists

Answered on

Due to decreased scleral rigidity in highly myopic eyes, there is a higher risk of hypotony and hypotony maculopathy with filtering surgeries, including tube shunts. In choosing the type of tube shunts, I would favor a valved tube shunt in high myopes.

For surgical technique, I take great care when ...

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