Friday, January 7, 2011

Glaucoma Drainage Implants on CT

Drainage implants are used for treatment of glaucoma refractory to medical and standard surgical therapy. The Baerveldt glaucoma drainage implant uses a barium-impregnated silicone plate (blue arrow) to increase echographic resolution and allow radiographic identification. The plate is curvilinear and conforms to the curvature of the globe. Aqueous humor is drained into a reservoir (pink arrow) and then absorbed by the adjacent periocular tissues. Radiographs (see reference for image and MRI compatibility) reveal a convex density along the superolateral aspect of the orbit.

References

Ceballos EM, Parrish RK 2nd. Plain film imaging of Baerveldt glaucoma drainage implants. AJNR Am J Neuroradiol. 2002 Jun-Jul;23(6):935-7.

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