Effectiveness of pars plana Ahmed® valve implantation in patients with refractory glaucoma.

Autor: Teherán Forero OL; Departamento de Glaucoma, Clínica Oftalmológica de Cartagena, Cartagena, Colombia. Electronic address: oscarteheran@hotmail.com., Rios Moreno JV; Universidad del Sinú, Clínica Oftalmológica de Cartagena, Cartagena, Colombia., Ochoa-Díaz M; Grupo de investigación GIBACUS, Escuela de Medicina, Universidad del Sinú, Seccional Cartagena, Colombia., Ramos-Clason E; Grupo de investigación GIBACUS, Escuela de Medicina, Universidad del Sinú, Seccional Cartagena, Colombia; Universidad de Cartagena, Cartagena, Colombia.
Jazyk: angličtina
Zdroj: Archivos de la Sociedad Espanola de Oftalmologia [Arch Soc Esp Oftalmol (Engl Ed)] 2024 Oct; Vol. 99 (10), pp. 420-426. Date of Electronic Publication: 2024 Jul 20.
DOI: 10.1016/j.oftale.2024.07.009
Abstrakt: Purpose: To evaluate the success rate and complications of the Ahmed FP7 valve implanted via Pars Plana in a group of vitrectomized patients with refractory glaucoma and anterior segment abnormalities from January 2018 to June 2023.
Methods: Quasi-experimental, prospective study. Eleven eyes with refractory glaucoma were included. Participants underwent a comprehensive ophthalmic examination, including assessment of intraocular pressure (IOP) reduction, visual acuity, characterization of glaucoma type, and number of antiglaucoma medications.
Results: The mean baseline IOP was 37.3 ± 11 mmHg, which decreased to 13.5 ± 3.0 mmHg after one year. The qualified success rate was 63.7%, while the complete success rate was 36.3%. The most common diagnosis was neovascular glaucoma in 36.4% of cases. The most frequent postoperative complications were choroidal detachment and hypotony.
Conclusions: Our data suggest that implantation of the Ahmed FP7 valve via pars plana is an effective and safe option for patients with refractory secondary glaucoma.
(Copyright © 2024 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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