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Abstract #13057 Published in IGR 7-3
Outcomes of small-incision cataract surgery in eyes with preexisting ahmed glaucoma valves
Gujral S; Nouri-Mahdavi K; Caprioli JAmerican Journal of Ophthalmology 2005; 140: 911-913
PURPOSE: To investigate outcomes of phacoemulsification in eyes with functioning Ahmed Glaucoma Valves (AGVs). DESIGN: Observational case series. METHODS: We reviewed records of 19 patients (23 eyes) who had a clear-cornea phacoemulsification ≥ 3 months after insertion of an AGV between 1997 and 2002. The main outcome measures were intraocular pressure (IOP) control, number of medications, complications, and further glaucoma surgery. RESULTS: The median interval between AGV surgery and phacoemulsification was 0.7 years with an average (± SD) follow-up time of 1.6 (± 0.6) years (range: 0.9 to 3.0 years). Four eyes (17%) had an IOP increase > 10 mmHg on day one. The mean IOP or number of medications did not significantly change after phacoemulsification at one month or thereafter (P > .05). One eye (4%) required a second AGV. CONCLUSIONS: Small-incision cataract surgery is consistent with maintenance of IOP control in eyes with functioning AGV. A minority of the eyes will require repeat glaucoma surgery.
Dr. S. Gujral, Glaucoma Division, Jules Stein Eye Institute, University of California-Los Angeles, Los Angeles, California, USA
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.12.2 Extracapsular (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
