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Abstract #25898 Published in IGR 12-2
Graft-free Ahmed tube insertion: A modified method at 5 mm from limbus
Mesa-Gutierrez JC; Lillo-Sopena J; Mones-Llivina A; Sanz-Moreno S; Arruga-Ginebreda JClinical Ophthalmology 2010; 4: 359-363
Objective: To determine the medium-term outcome of Ahmed implants inserted through a needle tract at 5 mm from limbus that eliminates the need for a donor scleral graft. Methods: A retrospective case series of 19 patients undergoing Ahmed implant surgery for refractory glaucoma with a mean follow-up of 12 months. Primary outcome measures included control of intraocular pressure after surgery. Secondary outcome measure included the frequency of intraoperative and postoperative complications. Results: Intraocular pressure was maintained between 6 and 21 mmHg throughout the study. There was no postoperative hypotony. There were no complications related to this modified technique. Conclusion: Needle tract at 5 mm from limbus maintains implant's ability to control intraocular pressure and eliminates the need for a donor scleral graft or heterologous material.
J. C. Mesa-Gutierrez. Department of Ophthalmology, Hospital Universitari de Bellvitge, Feixa Llarga s/n 08907, L'Hospitalet de Llobregat, Barcelona, Spain. juancarlosmesa@excite.co.uk
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
