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Abstract #19172 Published in IGR 3-1
The Ahmed valve implant in complicated glaucoma
Perez Garcia R; Martinez Garcia AArchivos de la Sociedad Española de Oftalmologia 2000; 75: 723-728
PURPOSE: A prospective study initiated in September 1994 in patients with complicated glaucoma who had had an Ahmed valve implanted. METHODS: Twelve eyes of 12 patients were studied until February 1996, with a median follow-up of 9.3 ± 5.1 months (range, 3-18 months). The most common diagnostic finding was pseudophakic glaucoma (eight eyes). Three eyes had aphakic glaucoma and one had traumatic glaucoma. The success is defined as intraocular pressure (IOP) ≤ 20 mmHg without oral carbonic anhydrase inhibitors (OCAI) treatment. RESULTS: IOP was reduced (p < 0.01) from 26.2 ± 9.96 mmHg to 15.7 ± 4.48 mmHg. The success was 83.3%, but only two eyes (16.6%) were controlled effectively without treatment. Tenon's cyst was the main complication (25%). CONCLUSIONS: Due to the percentage of success (83.3%) and the absence of serious complications, the authors advise the implantation of an Ahmed glaucoma valve in those patients with complicated glaucoma after failure of filtrating surgery with mitomycin C. LA: Spanish
Dr R. Perez Garcia, Complejo Hospitalario Universitario de Santiago de Compostela, Spain
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)