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Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
Ahmed valve implant for uncontrolled uveitic glaucoma
F Gil-Carrasco1, E Salinas-VanOrman, C Recillas-Gispert
1Hospital Dr. Luis Sánchez Bulnes, Asociación para Evitar la Ceguera en México, IAP, México.
Ocular Immunology and Inflammation
|November 3, 1998
Summary
The Ahmed valve implant shows promise for uncontrolled uveitic glaucoma, with a 57% success rate in high-risk patients. This glaucoma surgery effectively reduced intraocular pressure and medication use in the study.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Uveitic Glaucoma
Background:
- Uveitic glaucoma presents a significant challenge due to uncontrolled intraocular pressure (IOP).
- High-risk patients, often with prior cataract and multiple glaucoma surgeries, require effective treatment options.
Purpose of the Study:
- To evaluate the efficacy of the Ahmed valve implant in managing uncontrolled uveitic glaucoma.
- To assess the safety and outcomes of Ahmed valve implantation in a cohort of high-risk patients.
Main Methods:
- Retrospective review of medical records for patients with uncontrolled uveitic glaucoma who underwent Ahmed valve implant surgery.
- Success defined by IOP between 4-22 mmHg without further glaucoma surgery, hypotony, phthisis, or vision loss.
Main Results:
- The Ahmed valve implant achieved a success rate of 57.14% (8 out of 14 eyes).
- Mean IOP significantly decreased from 32.64 mmHg preoperatively to 17.57 mmHg postoperatively (p < 0.0001).
- Postoperative medication use decreased from a mean of 2.78 to 0.71 (p < 0.0001).
Conclusions:
- The Ahmed valve implant is a viable and safe alternative for high-risk patients with uncontrolled uveitic glaucoma.
- The procedure demonstrated significant IOP reduction and decreased medication dependency in this challenging patient group.
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