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Glaucoma Case Files

Surgical Insights and Real Cases From the OR

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Explantation and Reimplantation of a Tube Shunt

Rachel G. Simpson, MD; and Roya Garakani, DO

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Rachel G. Simpson, MD; and Roya Garakani, DO, review a complex case involving the explantation and reimplantation of an Ahmed ClearPath (New World Medical) implant. In the case, a patient with severe glaucoma and thyroid eye disease presented with elevated IOP and tube erosion from a previously implanted ClearPath device. Drs. Simpson and Garakani review their thought process for managing this case, which involved explanting the device, amputating the posterior half of the plate, and reimplanting it into the eye. They also share additional pearls for managing tube erosion in other cases.

Posted: 6/15/2025

Keywords:

Ahmed ClearPath Glaucoma Drainage Device

•

Explantation

•

Reimplantation

•

Device Amputation

•

Thyroid Eye Disease

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Explantation and Reimplantation of a Tube Shunt

Rachel G. Simpson, MD; and Roya Garakani, DO

Rachel G. Simpson, MD; and Roya Garakani, DO, review a complex case involving the explantation and reimplantation of an Ahmed ClearPath (New World Medical) implant. In the case, a patient with severe glaucoma and thyroid eye disease presented with elevated IOP and tube erosion from a previously implanted ClearPath device. Drs. Simpson and Garakani review their thought process for managing this case, which involved explanting the device, amputating the posterior half of the plate, and reimplanting it into the eye. They also share additional pearls for managing tube erosion in other cases.

Posted: 6/15/2025

Keywords:

Ahmed ClearPath Glaucoma Drainage Device

•

Explantation

•

Reimplantation

•

Device Amputation

•

Thyroid Eye Disease

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