Long-term success of ahmed glaucoma valve in refractory glaucoma

被引:0
作者
Mahmut Kaya [1 ]
Zeynep Ozbek [1 ]
Aylin Yaman [1 ]
Ismet Durak [1 ]
机构
[1] Department of Ophthalmology,Dokuz Eylul University,Izmir,Turkey
关键词
Ahmed glaucoma valve; encapsulated cyst; intraocular pressure; refractory glaucoma;
D O I
暂无
中图分类号
R779.6 [眼外科手术学];
学科分类号
100212 ;
摘要
AIM:To evaluate the long-term results and complications of ahmed glaucoma valve (AGV) implantation in refractory glaucoma.· METHODS:A retrospective review of 13 patients (13 eyes) with refractory glaucoma who underwent AGV implantation and had a minimum follow-up of 18 months was performed.All patients underwent a complete ophthalmologic examination and intraocular pressure (IOP) measurement before surgery and at 1 month,3 months,6 months,1 year after surgery and yearly afterwards.Complications and the number of antiglaucoma medications needed were recorded.· RESULTS:Mean age was 27.3±16.0 years.All eyes (100%) had at least one prior incisional surgery.Mean follow-up was 61.3±30.8 months.IOP was reduced from a mean of 35.0±7.0mmHg to 18.2±7.9mmHg at 12 months and to 17.0±4.1mmHg at 96 months (P <0.05) with a lower number of medications from baseline,76.9% patients required additional procedures to achieve the success criteria set by previously published series.The most common complications were encapculated cyst formation in eight eyes (61.5%) and tube exposure in four eyes (30.8%).· CONCLUSION:Encapsulated cyst formation was the most common complication which hindered succesful IOP control after AGV implant insertion for refractory glaucoma.Despite cyst excision with anti-fibrotic agents,successful IOP reduction was not achieved in 76.9% of the patients without antiglaucoma medication.
引用
收藏
页码:108 / 112
页数:5
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