1. Long-term Outcome of Ahmed Glaucoma Valve Implantation in Eyes With Intractably Raised Intraocular Pressure Following Pars Plana Vitrectomy
- Author
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Faisal Thattaruthody, Srishti Raj, Savleen Kaur, Simar Rajan Singh, Surinder Singh Pandav, Sushmita Kaushik, Kedarisetti K. Chandra, and Natasha Gautam Seth
- Subjects
Adult ,Pars plana ,Intraocular pressure ,medicine.medical_specialty ,Visual acuity ,Adolescent ,genetic structures ,medicine.medical_treatment ,Visual Acuity ,Glaucoma ,Vitrectomy ,Glaucoma valve ,Prosthesis Implantation ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Ophthalmology ,medicine ,Humans ,Glaucoma Drainage Implants ,Intraocular Pressure ,Retrospective Studies ,business.industry ,Retinal detachment ,Middle Aged ,medicine.disease ,eye diseases ,Treatment Outcome ,medicine.anatomical_structure ,030221 ophthalmology & optometry ,Etiology ,sense organs ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Follow-Up Studies - Abstract
PRECIS Ahmed glaucoma valve (AGV) implantation led to a significant reduction in intraocular pressure (IOP) and in antiglaucoma medications in vitrectomized eyes in previously nonglaucomatous eyes. The most common indication for vitrectomy was ocular trauma-related complications. PURPOSE The purpose of this study was to report the long-term outcomes of AGV implantation in patients of uncontrolled IOP after pars plana vitrectomy (PPV). MATERIALS AND METHODS Medical records of patients (age 18 y and above) who underwent AGV implantation between January 2006 and December 2017 for uncontrolled IOP following PPV with ≥2 years follow-up were reviewed. The underlying etiology for PPV, IOP, best-corrected visual acuity, and number of antiglaucoma medications (AGMs) were recorded at baseline. The main outcomes measures were IOP, number of AGM, best-corrected visual acuity, and postoperative complications. Postoperative complications were classified as early (≤3 mo)/intermediate (>3 mo to ≤1 y), or late (>1 y). RESULTS In all, 78 eyes of 78 patients with a mean age of 38.06±17.83 years were included. The mean follow-up was 70.46±36.96 (range: 24 to 180) months. The main underlying etiology for PPV was trauma (38.4%) followed by rhegmatogenous retinal detachment (28.2%). The mean preoperative IOP was 29.33±9.84 mm Hg with an average of 4.07±1.2 AGM. The mean IOP and number of AGM was significantly reduced in all follow-up visits (P
- Published
- 2020
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