Volume 21, Issue 3 (6-2018)
J Arak Uni Med Sci 2018, 21(3): 104-113 |
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Nilforushan N, Miraftabi A, Yadgari M, Alemzadeh S A, Hashemian M. Five Years Outcome of Ahmed Glaucoma Valve Surgery in Refectory Glaucoma . J Arak Uni Med Sci 2018; 21 (3) :104-113
URL: http://jams.arakmu.ac.ir/article-1-5626-en.html
URL: http://jams.arakmu.ac.ir/article-1-5626-en.html
Naveed Nilforushan 
1, Arezoo Miraftabi2 , Maryam Yadgari3 , Sayyed Amirpooya Alemzadeh4 , Mahsa Hashemian2
1, Arezoo Miraftabi2 , Maryam Yadgari3 , Sayyed Amirpooya Alemzadeh4 , Mahsa Hashemian2
1- Department of Ophthalmology, Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. , naveednil@yahoo.com
2- Department of Ophthalmology, Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
3- Department of Ophthalmology, Eye Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- Department of Ophthalmology, Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. Student Research Committee, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Ophthalmology, Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
3- Department of Ophthalmology, Eye Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- Department of Ophthalmology, Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. Student Research Committee, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (4179 Views)
Background and Aim: The aim of this study was to evaluate the success rate and complications of Ahmed Glaucoma Valve (AGV) insertion during a follow up of at least 5 years.
Materials and Methods: In this retrospective case series study, patients with 5 years of follow up after AGV insertion were enrolled. Success was defined as intraocular pressure (IOP) < 21 mm Hg (criterion A) and IOP < 16 mm Hg (criterion B), with at least 20% reduction in IOP, either with no medication (complete success) or with no more than preoperative medication (qualified success). Cumulative success was defined as sum of qualified and complete success.
Findings: This study included 40 eyes of 40 patients with mean age of 40.63± 22.91years, (range 1 to 88). Cumulative survival success rates were 90%, 73% at 1 and 5 years after surgery according to criterion A and 42%, 25% based on criterion B with the median survival time of 60 months and 22.36 months, respectively. Complications were observed in 4 eyes of 4 patients (10%) and included wound dehiscence, choroidal detachment, encapsulated bleb and lid retraction. There were not any early complications such as hypotonia or hyphema.
Conclusion: The present study was one of the largest series that reported the long-term outcome of AGV implantation in Asian patients with refractory glaucoma, and showed the wide difference of success rate between criterion A and B.
Materials and Methods: In this retrospective case series study, patients with 5 years of follow up after AGV insertion were enrolled. Success was defined as intraocular pressure (IOP) < 21 mm Hg (criterion A) and IOP < 16 mm Hg (criterion B), with at least 20% reduction in IOP, either with no medication (complete success) or with no more than preoperative medication (qualified success). Cumulative success was defined as sum of qualified and complete success.
Findings: This study included 40 eyes of 40 patients with mean age of 40.63± 22.91years, (range 1 to 88). Cumulative survival success rates were 90%, 73% at 1 and 5 years after surgery according to criterion A and 42%, 25% based on criterion B with the median survival time of 60 months and 22.36 months, respectively. Complications were observed in 4 eyes of 4 patients (10%) and included wound dehiscence, choroidal detachment, encapsulated bleb and lid retraction. There were not any early complications such as hypotonia or hyphema.
Conclusion: The present study was one of the largest series that reported the long-term outcome of AGV implantation in Asian patients with refractory glaucoma, and showed the wide difference of success rate between criterion A and B.
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