---
title: What is PAUL Glaucoma Implant?
description: "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…"
url: "https://bluefinvision.com/knowledge-base/topics/treatments-procedures/what-is-paul-glaucoma-implant/"
updated: "2025-12-31"
category: "Treatments & Procedures"
---

# What is PAUL Glaucoma Implant?

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