Glaucoma drainage shunts and methods of use
View Patent ↗Treating glaucoma utiilizing a shunt having an elastormeric plate and a non-valved elastomeric drainage tube. The plate is positioned over a sclera with an outflow end of the elastomeric drainage tube open to an outer surface of the plate. An inflow end of the drainage tube tunnels through the sclera and cornea to the anterior chamber of the eye. The drainage tube collapses upon initial insertion within an incision in the sclera and cornea, or at a kink on the outside of the incision, but has sufficient resiliency to restore its patency over time. The effect is a flow restrictor that regulates outflow from the eye until a bleb forms around the plate. The plate desirably has a peripheral ridge and a large number of fenestrations, and a longer suturing tab extending from one side of the plate to enhance visibility and accessibility when suturing the shunt to the sclera.
1. A method of treating glaucoma in an eye utilizing an implanted drainage device, the method comprising the steps of:
providing a glaucoma shunt comprising a plate and an elastomeric drainage tube having an open cross-section, an outflow end of the elastomeric drainage tube connected to a part of the plate and an inflow end extending away from the plate, the drainage tube having an open lumen and a tube wall with a hoop strength;
positioning the glaucoma shunt in the eye with the plate positioned on the sclera posterior to the limbus;
forming an incision at or near the limbus;
inserting the inflow end of the drainage tube through the incision and into the anterior chamber of the eye, the hoop strength of the drainage tube being such that the tube wall assumes a collapsed shape within the incision after insertion therein due to the pressure of the incision walls; and
leaving the glaucoma shunt in place for a sufficient amount of time to permit formation of a scar tissue bleb around the plate,
wherein the resiliency of the drainage tube is such the tube wall will resiliently expand from its collapsed shape to its open cross-section within the incision after a predetermined time after implanting.
2. The glaucoma drainage device of claim 1 , wherein the plate has a concave inner surface and a convex outer surface and wherein the concave inner surface has a radius of curvature between about 12 mm and about 14 mm, and the surface area of the plate is between about 100 mm 2 and about 600 mm 2 .
3. The glaucoma drainage device of claim 1 , wherein the plate has a concave inner surface and a convex outer surface, and further including a plurality of fenestrations extending therethrough from the inner surface to the outer surface and spaced evenly around and just inside an outer periphery of the plate.
4. The glaucoma drainage device of claim 1 , wherein the plate has a generally elliptical shape in plan view, and further including an extension thereof from a long side of the plate that has two holes therein for passage of sutures the extension having a length from the plate of between about 4 and about 8 mm and the two holes being located on an edge of the extension away from the plate.
5. The glaucoma drainage device of claim 1 , wherein the drainage tube has an outside diameter of less than about 0.50 mm and a wall thickness of less than about 0.125 mm.