advertisement
Abstract #12426 Published in IGR 7-2
Ahmed valve drainage implant surgery in the management of paediatric aphakic glaucoma
Kirwan C; O'Keefe M; Lanigan B; Mahmood UBritish Journal of Ophthalmology 2005; 89: 855-858
BACKGROUND: Paediatric aphakic glaucoma presents months or years after cataract surgery in children and is a major long term complication. The results of surgical treatment are poor and many children require multiple and repeat procedures with poor visual outcomes. METHODS: 13 children (19 eyes) had Ahmed valve implantation surgery, nine of the children had previous procedures such as cycloablation or trabeculectomy. Mitomycin was used at surgery in some patients and valve needling with Healon GV and 5-fluorouracil in some blebs after surgery. SF(6) gas was also used at the time of surgery in most children to reform the anterior chamber. RESULTS: 12 of the children (18 eyes) achieved intraocular pressure control of 15 mmHg or less with a valve alone or with additional medical therapy. CONCLUSION: Ahmed valve implantation surgery alone or in combination with medical therapy is successful and safe in the management of paediatric aphakic glaucoma.
Dr. C. Kirwan, The Children's University Hospital, National Children's Eye CenterTemple Street, Dublin 1, Republic of Ireland
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
9.1 Developmental glaucomas (Part of: 9 Clinical forms of glaucomas)
