Effects of Early Postoperative Intraocular Pressure after Ahmed Glaucoma Valve Implantation on Long-term Surgical Outcomes
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: To evaluate the long-term effects of early postoperative intraocular pressure (IOP) after Ahmed glaucoma valve (AGV) implantation on long-term surgical outcomes. Methods: This retrospective, non-randomized study included 100 eyes of 100 patients who underwent AGV surgery. We divided the enrolled patients into four groups according to the presence of transient hypotony within the first postoperative week or the presence of a hypertensive phase during the first three postoperative months. Postoperative IOP, the number of glaucoma medications, and cumulative success rate were compared among the groups. Results: There was significantly better IOP control and a better success rate in the non-hypertensive phase group 2 years postoperatively. However, no significant difference was found in the IOP or success rate at 2 years postoperatively between the transient hypotony and non-hypotony groups. Further subgroup analysis showed that the non-hypotony, non-hypertensive phase group had a significantly higher success rate (100%) at 2 years postoperatively. Conclusions: We can predict the long-term prognosis after AGV implantation by considering the early postoperative IOP state and the presence of a hypertensive phase.
Abstract
Purpose: To evaluate the long-term effects of early postoperative intraocular pressure (IOP) after Ahmed glaucoma valve (AGV) implantation on long-term surgical outcomes. Methods: This retrospective, non-randomized study included 100 eyes of 100 patients who underwent AGV surgery. We divided the enrolled patients into four groups according to the presence of transient hypotony within the first postoperative week or the presence of a hypertensive phase during the first three postoperative months. Postoperative IOP, the number of glaucoma medications, and cumulative success rate were compared among the groups. Results: There was significantly better IOP control and a better success rate in the non-hypertensive phase group 2 years postoperatively. However, no significant difference was found in the IOP or success rate at 2 years postoperatively between the transient hypotony and non-hypotony groups. Further subgroup analysis showed that the non-hypotony, non-hypertensive phase group had a significantly higher success rate (100%) at 2 years postoperatively. Conclusions: We can predict the long-term prognosis after AGV implantation by considering the early postoperative IOP state and the presence of a hypertensive phase.
참고문헌 (27)
- Rosenberg LF, "The glaucomas", pp.1783~1807 (1996), Mosby
- Schwartz K, "Current management of glaucoma", Curr Opin Ophthalmol, 15, pp.119~126 (2004)[DOI]
- Ceballos EM, "Outcome of Baerveldt glaucoma drainage implants for the treatment of uveitic glaucoma", Ophthalmology, 109, pp.2256~2260 (2002)[DOI]
- Wilson MR, "Ahmed glaucoma valve implant vs trabeculectomy in the surgical treatment of glaucoma: a randomized clinical trial", Am J Ophthalmol, 130, pp.267~273 (2000)[DOI]
- Siegner SW, "Clinical experience with the Baerveldt glaucoma drainage implant", Ophthalmology, 102, pp.1298~1307 (1995)[DOI]
- Wilson RP, "Aqueous shunts: Molteno versus Schocket", Ophthalmology, 99, pp.672~676 (1992)[DOI]
- Coleman AL, "Initial clinical experience with the Ahmed glaucoma valve implant in pediatric patients", Arch Ophthalmol, 115, pp.186~191 (1997)[DOI]
- Coleman AL, "Initial clinical experience with the Ahmed glaucoma valve implant", Am J Ophthalmol, 120, pp.23~31 (1995)[DOI]
- Huang MC, "Intermediate-term clinical experience with the Ahmed Glaucoma Valve implant", Am J Ophthalmol, 127, pp.27~33 (1999)[DOI]
- Park HY, "Risk factors of shallow anterior chamber other than hypotony after Ahmed glaucoma valve implant", J Glaucoma, 18, pp.44~48 (2009)[DOI]
- Ayyala RS, "A clinical study of the Ahmed glaucoma valve implant in advanced glaucoma", Ophthalmology, 105, pp.1968~1976 (1998)[DOI]
- Nouri-Mahdavi K, "Evaluation of the hypertensive phase after insertion of the Ahmed Glaucoma Valve", Am J Ophthalmol, 136, pp.1001~1008 (2003)[DOI]
- Fellenbaum PS, "Krupin disk implantation for complicated glaucomas", Ophthalmology, 101, pp.1178~1182 (1994)[DOI]
- Ayyala RS, "Comparison of double-plate Molteno and Ahmed glaucoma valve in patients with advanced uncontrolled glaucoma", Ophthalmic Surg Lasers, 33, pp.94~101 (2002)
- Won HJ, "Hypertensive phase following silicone plate Ahmed glaucoma valve implantation", J Glaucoma, 25, pp.e313~e317 (2016)[DOI]
- Yuen D, "Corticosteroids versus NSAIDs on intraocular pressure and the hypertensive phase after Ahmed glaucoma valve surgery", J Glaucoma, 20, pp.439~444 (2011)[DOI]
- Molteno TE, "Methods of controlling bleb fibrosis around drainage implants", 1st ed. Fourth international symposium of the Northern Eye Institute, pp.192~211 (1988)
- Lloyd MA, "Clinical experience with the single-plate Molteno implant in complicated glaucomas: update of a pilot study", Ophthalmology, 99, pp.679~687 (1992)[DOI]
- Heuer DK, "Which is better? One or two? A randomized clinical trial of single-plate versus double-plate Molteno implantation for glaucomas in aphakia and pseudophakia", Ophthalmology, 99, pp.1512~1519 (1992)[DOI]
- Budenz DL, "Treatment outcomes in the Ahmed Baerveldt Comparison Study after 1 year of follow-up", Ophthalmology, 118, pp.443~452 (2011)[DOI]
- Law SK, "Early aqueous suppressant therapy on hypertensive phase following glaudrainage device procedure: a randomized prospective trial", J Glaucoma, 25, pp.248~257 (2016)[DOI]
- Pakravan M, "Effect of early treatment with aqueous suppressants on Ahmed glaucoma valve implantation outcomes", Ophthalmology, 121, pp.1693~1698 (2014)[DOI]
- Rachmiel R, "Ahmed glaucoma valve implantation in uveitic glaucoma versus open-angle glaucoma patients", Can J Ophthalmol, 43, pp.462~467 (2008)[DOI]
- Da Mata AP, "Ahmed valve and uveitic glaucoma", Int Ophthalmol Clin, 39, pp.155~167 (1999)[DOI]
- Ozdal PC, "Ahmed valve implantation in glaucoma secondary to chronic uveitis", Eye (Lond), 20, pp.178~183 (2006)[DOI]
- Gil-Carrasco F, "Ahmed valve implant for uncontrolled uveitic glaucoma", Ocul Immunol Inflamm, 6, pp.27~37 (1998)[DOI]
- Kotliar KE, "Postoperative aqueous outflow in the human eye after glaucoma filtration surgery: biof luidmechanical considerations", Biomed Tech (Berl), 54, pp.14~22 (2009)[DOI]