What is your preferred approach to managing a patient with tube exposure?
Answer from: at Academic Institution
I typically put the patient immediately on a topical antibiotic until I can find OR time to surgically fix. I have seen others try Prokera or amniotic membrane grafts in the clinic if patients are very opposed to surgical correction, though these haven't worked well in my experience. I find that mov...
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at Russellville Eye Clinic Pa Repositioning the tube more posterior as noted abo...
at Saddleback Eye Medical Associates Thank you, Dr. @St Peter, Dr. @Gillespie, and Dr. ...
If you can free up conj, a split-thickness corneal patch graft works well.
The gold standard is probably to scleral flap/tunnel to cover the tube and recover with conj and a possible patch graft. I refer out for this, there are some very talented surgeons who make this look easy.
If the conj is sh...
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at Nevarez Marrero Juan Antonio Medical Group I try to explant the tube and relocate it to a dif...
at Saddleback Eye Medical Associates Thank you, Dr. @Nevarez.These are useful suggestio...
Repositioning the tube more posterior as noted abo...
Thank you, Dr. @St Peter, Dr. @Gillespie, and Dr. ...