Long-term results of Ahmed glaucoma valve implantation in Egyptian population

查看全文 作　　者：Eman [1]Elhefney;Tharwat [1]Mokbel;Waleed Abou [1]Samra;Hanem [1]Kishk;Tarek [1]Mohsen;Amr El-[1]Kannishy

机构地区：[1]Department of Ophthalmology, Faculty of Medicine, Mansoura University

出　　处：《International Journal of Ophthalmology(English edition)》索引2018年第11卷第3期,共6页

摘　　要：AIM: To evaluate the long-term results and complications of Ahmed glaucoma valve(AGV) implantation in a cohort of Egyptian patients.METHODS: A retrospective study of 124 eyes of 99 patients with refractory glaucoma who underwent AGV implantation and had a minimum follow-up of 5 y was performed. All patients underwent complete ophthalmic examination and intraocular pressure(IOP) measurement before surgery and at 1 d, weekly for the 1 st month, 3, 6 mo,and 1 y after surgery and yearly afterward for 5 y. IOP was measured by Goldmann applanation tonometry and/or Tono-Pen. Complications and the number of anti-glaucoma medications needed were recorded. Success was defined as IOP less than 21 mm Hg with or without anti-glaucoma medication and without additional glaucoma surgery. RESULTS: Mean age was 23.1±19.9 y. All eyes had at least one prior glaucoma surgery. IOP was reduced from a mean of 37.2±6.8 to 19.2±5.2 mm Hg after 5 y follow-up with a reduced number of medications from 2.64±0.59 to 1.81±0.4.Complete and qualified success rates were 31.5% and 46.0%respectively at the end of follow-up. The most common complications were encapsulated cyst formation in 51 eyes(41.1%), complicated cataract in 9 eyes(7.25%), recessed tube in 8 eyes(6.45%), tube exposure in 6 eyes(4.8%) and corneal touch in 6 eyes(4.8%). Other complications included extruded AGV, endophthalmitis and persistent hypotony.Each of them was recorded in only 2 eyes(1.6%). CONCLUSION: Although refractory glaucoma is a difficult problem to manage, AGV is effective and relatively safe procedure in treating refractory glaucoma in Egyptian patients with long-term follow-up. Encapsulated cyst formation was the most common complication, which limits successful IOP control after AGV implantation.However, effective complications management can improve the rate of success. 关键词：intraocular 压力 Ahmed 绿内障阀门倔强的绿内障绿内障的长期的后续 Ahmed 阀门复杂并发症

相关文献

参考文献（34）
引证文献（3）
耦合文献（48）

参考文献(34)

引证文献(3)

耦合文献(48)

互联网出版许可证新出网证(渝)字10号全国400电话 - 免长途话费

Long-term results of Ahmed glaucoma valve implantation in Egyptian population

参考文献(34)

引证文献(3)

耦合文献(48)

用户提示