Abstract
2/2010
vol. 112
Original paper
The evaluation of efficacy of Ahmed valve implantation in the surgical treatment of glaucoma in children and adolescents
- Z Kliniki Okulistyki Dziecięcej Uniwersytetu Medycznego w Białymstoku
Online publish date: 2010/07/21
Purpose: To report the safety and efficacy of Ahmed glaucoma valve implantation in the management of secondary glaucoma in
children and adolescents.
Material and methods: 6 patients with secondary glaucoma underwent Ahmed valve implantation. 1 patient had aphakic glaucoma, 3 patients had traumatic glaucoma, 1 patient had aniridia and 1 patient had ectropion uveae. IOP values range from 35 to
51 mmHg (mean 41.3 mmHg), with maximal medical treatment by this time. Mean follow-up was 2.17 years.
Results: Mean pooperative IOP ranged from 2 to 8 mmHg (mean 6 mmHg), during the first week. 6 months later IOP increased
to 15.2 (6-21) mmHg. The mean IOP at last follow-up was 15 mmHg and overall success rate was 83.3%. We observed one
hypotony, one tube exposure and one Tenon’s cyst formation.
Conclusions: The Ahmed valve is effective treatment for secondary glaucoma in children. It can be useful to avoid enucleation
of the eye with traumatic glaucoma.
children and adolescents.
Material and methods: 6 patients with secondary glaucoma underwent Ahmed valve implantation. 1 patient had aphakic glaucoma, 3 patients had traumatic glaucoma, 1 patient had aniridia and 1 patient had ectropion uveae. IOP values range from 35 to
51 mmHg (mean 41.3 mmHg), with maximal medical treatment by this time. Mean follow-up was 2.17 years.
Results: Mean pooperative IOP ranged from 2 to 8 mmHg (mean 6 mmHg), during the first week. 6 months later IOP increased
to 15.2 (6-21) mmHg. The mean IOP at last follow-up was 15 mmHg and overall success rate was 83.3%. We observed one
hypotony, one tube exposure and one Tenon’s cyst formation.
Conclusions: The Ahmed valve is effective treatment for secondary glaucoma in children. It can be useful to avoid enucleation
of the eye with traumatic glaucoma.
Keywords
Ahmed valve, secondary glaucoma, children, adolescents
Integrated with
