Glaucoma Tube Implants in Patients with Conjunctival Adhesions or Scarring

Many physicians avoid placement of tube implants in quadrants with scarring from previous surgery. This video demonstrates a technique for successful placement of a Baerveldt drainage device in a patient with conjunctival/scleral adhesions secondary to uveitis. A previous attempt at filtration surgery by another surgeon was abandoned due to difficulty dissecting a conjunctival flap. A split-thickness scleral dissection allows the implant to be placed in its usual posterior location in the superotemporal quadrant.