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Abstract #22809 Published in IGR 11-1

Ahmed's drainage in surgery of refractory posttraumatic glaucoma

Stepanov AV
Vestnik Oftalmologii 2008; 124: 28-31


The paper presents the results of Ahmed's drainage implanted in 19 patients with different forms of posttraumatic glaucoma: 14 and 5 eyes with contusion and wound glaucoma, respectively. According to its pathogenesis, glaucoma was recessive (8 eyes), uveal (7 eyes), phakotopic (2 eyes), keratoplasty-associated (1 eye), and congenital (1 eye). Neovascular uveal glaucoma was present in 3 cases. Three eyes with uveal glaucoma showed aniridia and aphakia. On admission, the patients had an average of 2.9 ± 1.6 operations per patient. There was an average of 5.0 ± 1.3 instillations of antihypertensive drugs at an intraocular pressure (IOP) of 32.6 ± 5.2 mmHg (C = 0.07 ± 0.038). The technique of surgery and its results are described. Complications and methods of their correction are presented. As a result, IOP normalization was achieved in all patients: on last visit it was 13.7 ± 4.8 mmHg. The follow-up was 6-16 months; on the day of last visit, the number of antihypertensive agents averaged 1.4 ± 0.73. LA: Russian


Classification:

12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
9.4.7 Glaucomas associated with ocular trauma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)



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