Ciliary Sulcus Ahmed Glaucoma Valve Tube Placement in Neovascular Glaucoma

A 61-year-old woman presented with severe ocular pain 3 months after cataract extraction with intraocular lens placement. After performing a thorough ophthalmic examination, it was determined that neovascular glaucoma was present. The patient underwent implantation of an Ahmed valve (New World Medical, Inc., Rancho Cucamonga, CA) with tube placement into the ciliary sulcus and received 1.25 mg of bevacizumab intracamerally. The patient's iris neovascularization resolved and the patient maintained stable intraocular pressures without any major complications 6 months after surgery. Tube placement of an Ahmed valve into the ciliary sulcus can be a viable alternative for the maintenance of appropriate intraocular pressures in patients whose anatomy precludes standard anterior chamber or pars plana tube placement. [Ophthalmic Surg Lasers Imaging 2009;40:489-492.]