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Ahmed Glaucoma Valve Implantation for Uveitic Glaucoma Secondary to Behçet Disease.
- Source :
-
Journal of glaucoma [J Glaucoma] 2015 Oct-Nov; Vol. 24 (8), pp. 607-12. - Publication Year :
- 2015
-
Abstract
- Purpose: To evaluate outcomes of patients with uveitic glaucoma secondary to Behçet disease (BD) who underwent Ahmed glaucoma valve (AGV) implantation.<br />Patients and Methods: A retrospective chart review of 14 eyes of 10 patients with uveitic glaucoma associated with BD who underwent AGV implantation at a tertiary referral center. Treatment success was defined as intraocular pressure (IOP) between 6 and 21 mm Hg with or without antiglaucoma medication, without further additional glaucoma surgery or loss of light perception. The main outcome measures were IOP, best-corrected visual acuity measured with Snellen charts, and number of glaucoma medications.<br />Results: Mean duration of postoperative follow-up was 18.2±6.6 months (range, 6 to 31 mo). Of the 14 eyes, 10 (71.4%) were pseudophakic and 5 (35.7%) had primary AGV implantation without a history of previous glaucoma surgery. At the most recent follow-up visit, 13 of the 14 eyes had an IOP between 6 and 21 mm Hg. Mean IOP was significantly reduced during follow-up, as compared with preoperative values (P≤0.005). The cumulative probability of surgical success rate was 90.9% at 18 months based on Kaplan-Meier survival analysis. The mean number of antiglaucoma medications required to achieve the desired IOP decreased from 3.4±0.5 preoperatively to 1.0±1.1 postoperatively (P≤0.05). Visual acuity loss of >2 lines occurred in 4 eyes (28.5%) due to optic atrophy associated with retinal vasculitis. Temporary hypotony developed during follow-up in 4 eyes (28.5%) at first postoperative week.<br />Conclusions: For the management of uveitic glaucoma associated with BD, AGV implantation is a successful method for glaucoma control but requires additional surgical interventions for high early hypotony rates.
- Subjects :
- Adolescent
Adult
Behcet Syndrome complications
Behcet Syndrome physiopathology
Female
Glaucoma etiology
Glaucoma physiopathology
Humans
Intraocular Pressure physiology
Male
Postoperative Complications surgery
Postoperative Period
Retrospective Studies
Tonometry, Ocular
Treatment Outcome
Uveitis, Anterior etiology
Uveitis, Anterior physiopathology
Visual Acuity physiology
Young Adult
Behcet Syndrome surgery
Glaucoma surgery
Glaucoma Drainage Implants
Prosthesis Implantation
Uveitis, Anterior surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1536-481X
- Volume :
- 24
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Journal of glaucoma
- Publication Type :
- Academic Journal
- Accession number :
- 24777045
- Full Text :
- https://doi.org/10.1097/IJG.0000000000000062