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OBJECTIVE: To evaluate the surgical effectiveness of glaucoma valve devices for refractory glaucoma following vitrectomy surgery. METHODS: Sixteen eyes of 15 patients suffering from secondary glaucoma following vitrectomy were treated with glaucoma valve implantation, all the eyes were in a critical condition, and the intraocular pressure failed to be controlled after silicone oil removal and/or with glaucoma medication. Of these eyes, 13 underwent Ahmed valve implantation and three Krupin disc implantation. RESULTS: The mean follow-up was 18.5 months. The total success rate was 76.9% at three months, 70.0% at six months, and 66.7% at one year or longer. The postoperative complications included transient hyphema, early postoperative hypotony, choroidal detachment, shallow anterior chamber, and obstruction of the tube tip. CONCLUSIONS: The glaucoma valve device is a safe and effective method for refractory glaucoma following vitrectomy, especially for patients who have a certain level of visual acuity.LA: Chinese
Dr. G. Tang, Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai 200031, China. gxtang@sinohome.com
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)