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Tube Shunt: Revision or Removal?

Scott J. Fudemberg, MD, presents the removal of an Ahmed M4 tube shunt. Dr. Fudemberg details the steps of a typical tube revision and explains when removal is warranted. In this case, the patient had an erosion that was overlying the plate and M4 implant itself, necessitating removal. Dr. Fudemberg highlights his steps for removing the implant from the anterior chamber and shares pearls for intraoperatively managing the risks associated with this procedure and ensuring the best possible outcomes.

20 / 23 Series: Inside the Wills OR