Postoperative hypotony and retinal complications following ahmed glaucoma valve implantation

S. K. Law, J. W. Kalenak, J. R. Trible, T. B. Ccnnor, J. S. Pulido, D. P. Ran, W. F. Mieler

Research output: Contribution to journalArticle

Abstract

PURPOSE: To compare the IOP & VA outcomes, and surgical success & retinal complication rate of Ahmed valve to other devices including Krupin valve with disc, singleplate Molteno, & Baerveldt implant. METHODS : Records of 62 consecutive primary aqueous-shunt procedures on 59 patients performed from 6/93 to 12/95, with minimum follow-up of 6 months, were reviewed. Surgical success defined as (l)IOP of 21 mmHg or less & greater than SinmHg with or without medication, or 22mmHg without medication; with (2)IOP decreased by at least 20% from preop.IOP; and (3)no additional glaucoma surgery or potentially visually devastating complication. RESULTS : 17 cases of Ahmed valves, 23 Krupin valves with disc, 9 single-plate Molteno, & 13 Baerveldt implants were included. After correcting for baseline differences, rates of postop. hypotony & retinal complications differed significantly among different implants (p=0.043 & 0.05 respectively). Ahmed valve had significantly less postop. hypotony and retinal complications than Krupin valve with disc or Baerveldt implant (planned comparison with Bonferroni correction for multiple comparison). CONCLUSION: Ahmed valve is associated with a lower rate of postoperative hypotony & retinal complications.

Original languageEnglish (US)
Pages (from-to)S12
JournalInvestigative Ophthalmology and Visual Science
Volume38
Issue number4
StatePublished - Dec 1 1997

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

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    Law, S. K., Kalenak, J. W., Trible, J. R., Ccnnor, T. B., Pulido, J. S., Ran, D. P., & Mieler, W. F. (1997). Postoperative hypotony and retinal complications following ahmed glaucoma valve implantation. Investigative Ophthalmology and Visual Science, 38(4), S12.