Edited by Victor Koh, Paul Chew & Keith Barton · Published by Kugler Publications, Amsterdam · 2026
Glaucoma remains one of the leading causes of irreversible blindness worldwide, and effective control of intraocular pressure continues to be the cornerstone of its management. While traditional surgical approaches such as trabeculectomy and established glaucoma drainage devices have played a critical role in treating advanced disease, ongoing innovation in implant design and surgical technique has expanded the therapeutic landscape for glaucoma surgeons.
This publication provides an overview of one of the recent developments in glaucoma drainage device technology, The PAUL® Glaucoma Implant. Edited by recognised glaucoma specialists Victor Koh, Paul Chew, and Keith Barton, this volume brings together contributions from leading surgeons and researchers around the world to examine the scientific principles, design innovations, surgical techniques, and clinical outcomes associated with the Implant.
Since its clinical introduction in 2019, the PAUL® Glaucoma Implant has seen rapidly expanding global adoption. Designed to address limitations of traditional tube surgery, the implant features a refined tube diameter and optimised plate design aimed at balancing effective intraocular pressure reduction with an improved safety profile.
Chapters cover indications for implantation, comparative evidence with other drainage devices, surgical techniques, perioperative management, and the use of the implant in complex clinical scenarios. Practical guidance is also provided for managing postoperative complications and optimising surgical outcomes.
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