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Comment on: Surgical technique, perioperative management and early outcome data of the PAUL glaucoma drainage device, dated September 2021

Eye (2024)Cite this article

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Vallabh et al. [1] from Manchester Royal Eye Hospital, described the surgical technique for the PAUL glaucoma drainage device, including using a 6/0 prolene suture as an intraluminal stent to prevent early post-operative hypotony, which we believe has been widely adopted.

This correspondence offers an update regarding this surgical technique. The authors of this original article have noticed cases when the PAUL tube is not draining with a 6/0 prolene intraluminal stent, leading to several patients having high intraocular pressure on day one. These patients require early post-operative reintroduction of glaucoma medications until the prolene stent can be removed, usually not before 3 months. This creates a difficult balance of controlling the high intraocular pressure medically, whilst not removing the prolene suture too soon, which may cause hypotony.

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Reference

  1. Vallabh NA, Mason F, Yu JTS, Yau K, Fenerty CH, Mercieca K, et al. Surgical technique, perioperative management and early outcome data of the PAUL® glaucoma drainage device. Eye. 2022;36:1905–10.

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  1. Manchester Royal Eye Hospital, Manchester, UK

    Michelle Dinsdale & Leon Au

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  1. Michelle Dinsdale
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  2. Leon Au
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Correspondence to Michelle Dinsdale.

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Dinsdale, M., Au, L. Comment on: Surgical technique, perioperative management and early outcome data of the PAUL glaucoma drainage device, dated September 2021. Eye (2024). https://doi.org/10.1038/s41433-024-03054-9

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  • DOI: https://doi.org/10.1038/s41433-024-03054-9

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