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Ahmed valve drainage implant surgery in the management of paediatric aphakic glaucoma

C Kirwan1, M O'Keefe, B Lanigan

  • 1The Children's University Hospital, National Children's Eye CenterTemple Street, Dublin 1, Republic of Ireland.

The British Journal of Ophthalmology
|June 21, 2005
PubMed

Insights

Ahmed valve implantation is a successful and safe surgical option for managing paediatric aphakic glaucoma, offering improved intraocular pressure control in most cases.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Pediatric aphakic glaucoma is a serious complication following childhood cataract surgery.
  • Current surgical treatments often yield poor results, necessitating repeat interventions and leading to suboptimal visual outcomes.

Purpose of the Study:

  • To evaluate the safety and efficacy of Ahmed valve implantation in pediatric patients with aphakic glaucoma.

Main Methods:

  • Ahmed valve implantation surgery was performed on 13 children (19 eyes).
  • Procedures included adjunctive therapies like mitomycin, valve needling with 5-fluorouracil, and SF(6) gas for anterior chamber reformation.
  • Nine children had prior glaucoma surgeries such as cycloablation or trabeculectomy.

Main Results:

  • Successful intraocular pressure control (≤15 mm Hg) was achieved in 12 children (18 eyes).
  • Control was attained with the valve alone or in conjunction with medical therapy.

Conclusions:

  • Ahmed valve implantation is a safe and effective surgical intervention for pediatric aphakic glaucoma.
  • Combination therapy with medical management further enhances successful outcomes.
Abstract

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