Surgical Technique for Pars Plana Ahmed Glaucoma Valve Implantation in Advanced Glaucoma: The Upside-Down Technique
| Autor: | Genichiro Takahashi, Tadashi Nakano, Tetsutaro Oki, Yoichiro Masuda, Yuka Saito, Takaaki Hayashi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pars plana
medicine.medical_specialty Intraocular pressure Visual acuity genetic structures medicine.medical_treatment Visual Acuity Glaucoma Glaucoma valve Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Ophthalmology medicine Glaucoma surgery Humans Glaucoma Drainage Implants Intraocular Pressure Retrospective Studies Glaucoma medication business.industry medicine.disease eye diseases Treatment Outcome medicine.anatomical_structure 030221 ophthalmology & optometry sense organs Bleb (medicine) medicine.symptom business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Journal of Glaucoma. 30:489-496 |
| ISSN: | 1057-0829 |
| DOI: | 10.1097/ijg.0000000000001791 |
| Popis: | PRCIS Ahmed glaucoma valve (AGV) implantation using the upside-down technique resulted in an aqueous humor outflow pathway, occurring primarily on the scleral side and secondarily on the conjunctival side, and was effective in treating refractory glaucoma. PURPOSE To describe the AGV surgical technique, which results in changes in the primary aqueous humor outflow pathway to the scleral side (upside-down technique), and to evaluate the clinical effects and distribution of bleb fluid after surgery in patients with refractory glaucoma. PATIENTS AND METHODS In this retrospective study, the upside-down technique was used for pars plana AGV implantation in 10 eyes of 10 patients with refractory glaucoma. Surgical success was defined by complications, intraocular pressure (IOP), the glaucoma medication score, and bleb fluid distribution determined by magnetic resonance imaging. RESULTS Postoperatively, there were significant reductions in the IOP and medication score at 23 and 27 months, respectively (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|