The PAUL Glaucoma Implant is a modern drainage device designed to lower eye pressure in moderate to advanced glaucoma by diverting fluid to a reservoir plate.
How the PAUL implant works
A soft tube is placed into the front chamber of the eye and connected to a large, flexible plate positioned on the sclera under the conjunctiva. Fluid drains through the tube and spreads over the plate, forming a bleb where it is absorbed.
- Indicated for glaucoma needing significant pressure reduction
- Plate design aims to reduce complications seen with older implants
- Often used when other surgeries or drops have not been enough
- Performed under regional or general anaesthetic
Care after implantation
Pressure may fall gradually as tissues settle around the plate. Lifelong follow-up is required.
- Anti-scarring medicines may be used during surgery
- Patients continue with drops as instructed while the implant matures
- Complications such as hypotony or double vision are monitored
- Choice of implant depends on individual risk factors and surgeon preference
