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Miscellaneous (8)

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Abstract #25566 Published in IGR 12-1

Ahmed glaucoma valve implantation combined with anterior vitrectomy for treatment of neovascular glaucoma

Wang R -F; Li X; Gao X -W; Dong X -Y; Yang Z -Q; Yan X -D; Luo J
International Journal of Ophthalmology 2009; 9: 2332-2334

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AIM: To observe the clinical effect of Ahmed glaucoma valve (AGV) implantation combined with anterior vitrectomy for treatment of neovascular glaucoma (NVC). METHODS: In treating group, 32 eyes of 32 patients with NVG were treated with AGV implantation combined with anterior vitrectomy and conventional AGV implantation were performed in 24 eyes of 22 patients who were taken as control group. The main measure outcomes were the rate of early postoperative complications and the postoperative intraocular pressure (IOP). And the outcomes were compared between the two groups. RESULTS: Early postoperative shallow anterior chamber occurred in 3 eyes in the treating group and in 8 eyes in control group ((chi)(2) = 4.987, P = 0.026). Early postoperative hypotomy occurred in 10 eyes in the treating group and in 14 eyes in control groupe ((chi)(2) = 4.108, P = 0.043). At the first month of follow-up, the operation succeeded in 28 eyes (87.5%) in the treating group, and in 15 eyes (62.5%) in the control group. At the 6th month of follow-up, the operation succeeded in 17 eyes (53.1%) in the treating group and in 13 eyes (54.2%) in the control group. And the difference was not significant. CONCLUSION: AGV implantation combined with anterior vitrectomy is a simple, safe and effective therapy for the treatment of NVG. LA: Chinese

R.-F. Wang. Department of Ophthalmology, No. 474 Hospital, Ophthalmic Center of Chinese PLA, Urumchi 830013, China. WangRF068@sina.com

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Classification:

9.4.5.1 Neovascular glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.5 Glaucomas associated with disorders of the retina, choroid and vitreous)
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
9.4.11.5 Glaucomas associated with vitreoretinal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)

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