Initial Clinical Experience with Ahmed Valve Implantation in Refractory Pediatric Glaucoma
The purpose is to report on the safety and efficacy of Ahmed Glaucoma Valve (AGV, New World Medical, Inc., Rancho Cucamonga, CA, USA) implantation for the management of refractory pediatric glaucoma observed during one-year follow up period. A retrospective chart review was conducted on 10 eyes, all...
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Published in | Acta clinica Croatica (Tisak) Vol. 55; no. 4; pp. 555 - 559 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Croatia
Klinicki bolnicki centar Sestre milosrdnice
01.12.2016
Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
Subjects | |
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Abstract | The purpose is to report on the safety and efficacy of Ahmed Glaucoma Valve
(AGV, New World Medical, Inc., Rancho Cucamonga, CA, USA) implantation for the management
of refractory pediatric glaucoma observed during one-year follow up period. A retrospective chart
review was conducted on 10 eyes, all younger than 11 years, with pediatric glaucoma that underwent
AGV implantation for medicamentously uncontrolled intraocular pressure (IOP) between 2010 and
2014. Outcome measures were control of IOP below 23 mm Hg (with or without antiglaucoma
medications) and changes in visual acuity. Complications were recorded. After AGV implantation,
IOP values ranged from 18 mm Hg to 23 mm Hg (except for one eye with postoperative hypotonia
due to suprachoroid hemorrhage, where the postoperative IOP value was 4 mm Hg). The number of
antiglaucoma medications was reduced, i.e. four patients had two medications, one patient had one
medication, and the others did not need antiglaucoma medication on the last follow-up visit. One eye
had suprachoroid hemorrhage, one eye had long-term persistent uveitic membrane, and two eyes had
tube-cornea touch. In conclusion, AGV implantation appears to be a viable option for the management
of refractory pediatric glaucoma and shows success in IOP control. However, there was a relatively
high complication rate limiting the overall success rate. |
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AbstractList | The purpose is to report on the safety and efficacy of Ahmed Glaucoma Valve
(AGV, New World Medical, Inc., Rancho Cucamonga, CA, USA) implantation for the management
of refractory pediatric glaucoma observed during one-year follow up period. A retrospective chart
review was conducted on 10 eyes, all younger than 11 years, with pediatric glaucoma that underwent
AGV implantation for medicamentously uncontrolled intraocular pressure (IOP) between 2010 and
2014. Outcome measures were control of IOP below 23 mm Hg (with or without antiglaucoma
medications) and changes in visual acuity. Complications were recorded. After AGV implantation,
IOP values ranged from 18 mm Hg to 23 mm Hg (except for one eye with postoperative hypotonia
due to suprachoroid hemorrhage, where the postoperative IOP value was 4 mm Hg). The number of
antiglaucoma medications was reduced, i.e. four patients had two medications, one patient had one
medication, and the others did not need antiglaucoma medication on the last follow-up visit. One eye
had suprachoroid hemorrhage, one eye had long-term persistent uveitic membrane, and two eyes had
tube-cornea touch. In conclusion, AGV implantation appears to be a viable option for the management
of refractory pediatric glaucoma and shows success in IOP control. However, there was a relatively
high complication rate limiting the overall success rate. The purpose is to report on the safety and efficacy of Ahmed Glaucoma Valve (AGV, New World Medical, Inc., Rancho Cucamonga, CA, USA) implantation for the management of refractory pediatric glaucoma observed during one-year follow up period. A retrospective chart review was conducted on 10 eyes, all younger than 11 years, with pediatric glaucoma that underwent AGV implantation for medicamentously uncontrolled intraocular pressure (IOP) between 2010 and 2014. Outcome measures were control of IOP below 23 mm Hg (with or without antiglaucoma medications) and changes in visual acuity. Complications were recorded. After AGV implantation, IOP values ranged from 18 mm Hg to 23 mm Hg (except for one eye with postoperative hypotonia due to suprachoroid hemorrhage, where the postoperative IOP value was 4 mm Hg). The number of antiglaucoma medications was reduced, i.e. four patients had two medications, one patient had one medication, and the others did not need antiglaucoma medication on the last follow-up visit. One eye had suprachoroid hemorrhage, one eye had long-term persistent uveitic membrane, and two eyes had tube-cornea touch. In conclusion, AGV implantation appears to be a viable option for the management of refractory pediatric glaucoma and shows success in IOP control. However, there was a relatively high complication rate limiting the overall success rate. |
Audience | Academic |
Author | Mandić, Zdravko Škunca Herman, Jelena Jurišić, Darija Šimić Prskalo, Marija Novak-Lauš, Katia |
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(AGV, New World Medical, Inc., Rancho Cucamonga, CA, USA) implantation for the... The purpose is to report on the safety and efficacy of Ahmed Glaucoma Valve (AGV, New World Medical, Inc., Rancho Cucamonga, CA, USA) implantation for the... |
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SubjectTerms | Ahmed Glaucoma Valve Analysis Care and treatment Child Child Health Services Croatia Female Follow-Up Studies Glaucoma - surgery Glaucoma Drainage Implants Glaucoma in children Glaucoma, pediatric Humans Implants, Artificial Intraocular Pressure Intraocular pressure, medicamentously uncontrolled Male Postoperative Complications Prosthesis Prosthesis Implantation Retrospective Studies Tonometry, Ocular Treatment Outcome Visual Acuity |
Title | Initial Clinical Experience with Ahmed Valve Implantation in Refractory Pediatric Glaucoma |
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