Ahmed Glaucoma Valve in Refractory Glaucoma: A Retrospective Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 4
Abstract
ABSTR ACT Introduction: Ahmed Glaucoma Valve (AGV) is a modality to surgically manage patients of glaucoma who are refractory to conventional intraocular pressure lowering drugs. Aim: To evaluate the success rate and safety profile of AVG in patients of refractory glaucoma. Materials and Methods: This study is a retrospective review of 30 eyes with refractory glaucoma that were implanted AGV over a period from January 2012 to November 2014. The collected data was analysed using SPSS Version 21.0, ANOVA and Kaplan-Meier survival analysis to evaluate surgical success and rate of complications. Results: The AGV reduced the preoperative mean Intraocular Pressure (IOP) of 33.47±6.19 mmHg to 12.36±3.55 mmHg at last follow up after surgery (p-value=0.001). The dependency on anti-glaucoma drugs decreased from 2.43±1.1 to 1.1±0.5 at the last follow up visit (p-value=0.65). AGV implantation was successful in 90% eyes at 12 months (n=30), 86.7% at 24 months (n=26) and 70% eyes at 36 months (n=21). Complications requiring intervention were found in seven (23.33%) eyes. Conclusion: Ahmed Glaucoma Valve is a reliable and safe alternative for IOP control in patients with refractory glaucoma.
Authors and Affiliations
Suresh Kumar, Sahil Thakur, Madhu Sharma
Keywords
Related Articles
- EP ID EP522907
- DOI 10.7860/JCDR/2018/32447.11435
- Views 64
- Downloads 0
A Study on Gender Preference and Awareness Regarding Prenatal Sex Determination among Antenatal Women in a Rural Area of Darjeeling District, West Bengal, India
Introduction: Sex ratio is one of the major indicators to find the gender preferences in the community. Change in sex ratio reflects underlying socioeconomic, cultural patterns of a society. Aim: The present study was co...
Interventional Angiography: Radiation Protection for the Examiner by using Lead-free Gloves
Introduction: The radiation exposure to unprotected parts of the body requires special attention for the interventional radiologist. During angiographic procedures, hands are exposed to the direct X-ray beam and scattere...
Versatility of Transconjunctival Approach in Maxillofacial Trauma-A Prospective Study and Review of Literature
ABSTRACT Introduction: Maxillofacial injuries are multiple and complex type of injuries which require multi-specialty management. Maxillofacial trauma can involve the skin, soft tissues, as well as bones resulting in sin...
Primary Pulmonary Artery Intimal Sarcoma Case with Elevated Coagulation Markers
Primary Sarcoma of the Pulmonary Artery (PAS) is a very rare and miserable disease. The clinical signs and symptoms of PAS are nonspecific, which usually prevents diagnosis before surgery or autopsy. The current guidelin...
First Successful Use of Low Dose Amoxicillin-Clavulanic Acid in Management of Drug Resistant Tuberculosis
ABSTRACT Resistance to anti-tuberculosis drugs is a formidable obstacle to effective tuberculosis (TB) care. A case of Pre-XDR (Pre-Extensive Drug Resistant) pulmonary TB was reported with limited therapeutic options, w...