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| Name | Ahmed Clearpath 250: My preferred surgical steps |
| Video Uploader | Video From Pushpa Raman |
| Upload Date | This Video Uploaded At 06-08-2024 07:11:34 |
| Video Discription | The Ahmed ClearPath 250 (ACP; New World Medical) is valveless glaucoma drainage device (GDD) that was cleared by the US Food and Drug Administration in 2019. Designed with a 250 mm² surface area, the ACP 250 fits seamlessly between ocular muscles, eliminating the need for muscle isolation during implantation. The device is conveniently packaged with a prethreaded 4–0 polypropylene rip cord and a 23-gauge needle, facilitating the creation of a sclerostomy. Compared to other GDDs, the ACP 250 conforms better to the curvature of the globe, is easier to suture to the sclera, requires shorter operating time, and offers greater overall ease of use, enhancing surgical efficiency and patient outcomes. During the initial days of using the device, I encountered a few cases with prolonged hypotony. To mitigate this issue, I began performing double ligation using 3-2-1 knots with 8-0 vicryl, and leaving the prolene in the tube extending up to the anterior chamber. Additionally, I personally prefer the 'taco' method, where the plate is folded and inserted via a smaller conjunctival incision. This approach not only simplifies the insertion process but also minimizes tissue disruption, leading to better postoperative results. #glaucoma #glaucomasurgery #ahmedclearpath #surgeryeducation #ophthalmology |
| Category | People & Blogs |
| Tags | glaucoma | ophthalmology | glaucoma surgery | visual impairment | surgical technique |
