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Abstract #3648 Published in IGR 4-2
Comparison of the Ahmed glaucoma valve, the Krupin eye valve with disc, and the double-plate Molteno implant
Taglia DP; Perkins TW; Gangnon R; Heatley GA; Kaufman PLJournal of Glaucoma 2002; 11: 347-353
OBJECTIVE: To compare the efficacy of the nonvalved double-plate Molteno implant with two valved implants, the Krupin eye valve with disc and the Ahmed glaucoma valve, in the treatment of recalcitrant glaucoma. PATIENTS AND METHODS: The authors performed a nonrandomized retrospective review of patients who received the Molteno implant (n = 27), Krupin eye valve with disc (n = 13), or Ahmed glaucoma valve (n = 13), with adjunctive mitomycin C. RESULTS: Kaplan-Meier life-table analysis showed that the Molteno implant patients were more likely to maintain intraocular pressure (IOP) between 5 and 15 mmHg than Ahmed glaucoma valve patients (p = 0.03). Success rates at one year were 80% (95% CI, 66-97%) for the Molteno implant, 39% (19-77%) for the Krupin eye valve with disc, and 35% (15-82%) for the Ahmed glaucoma valve. However, Ahmed glaucoma valve patients were less likely to experience complications requiring reoperation or loss of two or more lines of visual acuity (p < 0.01) than Molteno implant or Krupin eye valve with disc patients. CONCLUSIONS: This nonrandomized study suggests that the Molteno implant with mitomycin C is more likely to result in IOPs in the lower teens than the Ahmed glaucoma valve with mitomycin C. The findings suggest that the Ahmed implant is less likely to create problems leading to reoperations or visual acuity loss than the Molteno or Krupin implants.
Dr. T.W. Perkins, Department of Ophthalmology and Visual Sciences, University of Wisconsin, 2870 University Avenue, Madison, WI 53705-3631, USA
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
