Table 1. Advantages and disadvantages of commercially available GDIs for anterior chamber use.
Shunt type | Commercially-available GDI | Plate material | Surface area | Advantages | Disadvantages |
Non-valved | Baerveldt | Silicone | 250 mm2 | Larger surface area of plate(s) to act as reservoir that may provide increased IOP lowering effect | Delayed functioning until encapsulation of plate occurs More intensive post-operative follow-up required Greater risk of diplopia Greater risk of hypotony |
350 mm2 | |||||
Molteno | Polypropylene | Single plate 130 mm2 | |||
Double plate 270 mm2 | |||||
Ahmed Clear Path | Silicone | 250mm2 | |||
350mm2 | |||||
Valved | Ahmed | Polypropylene | 96 mm2 (S3) | Immediate post-operative IOP lowering effect Plate placed in between recti muscles hence lower risk of diplopia Valve minimises risk of post-operative hypotony |
Higher rate of bleb encapsulation Smaller surface area of plate to act as a reservoir that may provide decreased IOP lowering effect Defective valve mechanism can result in hypotony or obstructed outflow |
184 mm2 (S2) | |||||
364 mm2 (B1) | |||||
Silicone | 96 mm2 (FP8) | ||||
184 mm2 (FP7) | |||||
364 mm2 (FX1) |