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AIM: To evaluate the effect and complications of the treatment of refractory glaucoma with Ahmed Glaucoma Valve implant and its combination surgery. METHODS: This retrospective study reviewed the final intraocular pressure, visual outcome, and incidence of complications in all patients with Ahmed glaucoma valve implant and its combination surgery performed in our hospital. RESULTS: A total of 45 eyes from 45 patients were treated with the Ahmed glaucoma valve implant and its combination surgery. At a mean follow up of 9.7 months (range 3 - 18 months), the mean intraocular pressure was reduced from 36.8 ± 12.3 mmHg before the implant surgery to 18.0 ± 4.5 mmHg at the last follow up after surgery. The success rate was 87%. The best postoperative corrected visual acuity improved 16 eyes (35%). Transient postoperative hypotony and shallow anterior chamber occurred in 20% of cases. The common postoperative complication in later was the formation of encapsulated bleb (13%). CONCLUSION: Ahmed glaucoma valve implant and its combination surgery are effective and relatively safe for treating refractory glaucoma. LA: Chinese
Dr. H. Xu, Department of Opthalmology, The Fourth People's Hospital, Shenyang 110031 Liaoning Province, China. xuhepipi@yahoo.com.cn
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)