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Pars plana Ahmed glaucoma valve implantation with triamcinolone-assisted vitrectomy in refractory glaucomas.

Dada T, Bhartiya S, Vanathi M, Panda A - Indian J Ophthalmol (2010 Sep-Oct)

Bottom Line: We evaluated the outcome of pars plana Ahmed glaucoma valve along with triamcinolone-assisted vitrectomy in 11 eyes with uncontrolled IOP on maximum tolerable antiglaucoma therapy.The mean preoperative IOP of 33.64 +/- 5.99 (range 26 to 44 mmHg) decreased to 17.09 +/- 2.26 (range 14 to 20 mmHg) and 17.45 +/- 1.81 mm of Hg (range 14 to 24 mmHg) at 6 and 12 months following surgery.The mean number of antiglaucoma medications decreased from 3.27 +/- 0.05 to 0.64 +/- 0.67 and 0.55 +/- 0.6 at 6 and 12 months following surgery.

View Article: PubMed Central - PubMed

Affiliation: Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT
Glaucoma drainage devices are an option in refractory glaucomas for control of intraocular pressure (IOP). We evaluated the outcome of pars plana Ahmed glaucoma valve along with triamcinolone-assisted vitrectomy in 11 eyes with uncontrolled IOP on maximum tolerable antiglaucoma therapy. The mean preoperative IOP of 33.64 +/- 5.99 (range 26 to 44 mmHg) decreased to 17.09 +/- 2.26 (range 14 to 20 mmHg) and 17.45 +/- 1.81 mm of Hg (range 14 to 24 mmHg) at 6 and 12 months following surgery. The mean number of antiglaucoma medications decreased from 3.27 +/- 0.05 to 0.64 +/- 0.67 and 0.55 +/- 0.6 at 6 and 12 months following surgery.

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Related in: MedlinePlus

Anterior segment optical coherence tomography (ASOCT)picture showing tube entry via sclerostomy 3.5mm behind the limbus
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Figure 0002: Anterior segment optical coherence tomography (ASOCT)picture showing tube entry via sclerostomy 3.5mm behind the limbus

Mentions: All eyes maintained a patent tube with no vitreous blockage as visualized on slit-lamp biomicroscopy and ASOCT [Figs. 1 and 2]. One patient with post-PK glaucoma (case number 6) developed a graft infection (culture-proven Staphylococcus epidermidis) six months after surgery which was vigorously treated with antimicrobial therapy (cefazolin 5%, and tobramycin 1.3% eye drops). None of the patients were observed to have any retinal complications at the last follow-up.


Pars plana Ahmed glaucoma valve implantation with triamcinolone-assisted vitrectomy in refractory glaucomas.

Dada T, Bhartiya S, Vanathi M, Panda A - Indian J Ophthalmol (2010 Sep-Oct)

Anterior segment optical coherence tomography (ASOCT)picture showing tube entry via sclerostomy 3.5mm behind the limbus
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2992926&req=5

Figure 0002: Anterior segment optical coherence tomography (ASOCT)picture showing tube entry via sclerostomy 3.5mm behind the limbus
Mentions: All eyes maintained a patent tube with no vitreous blockage as visualized on slit-lamp biomicroscopy and ASOCT [Figs. 1 and 2]. One patient with post-PK glaucoma (case number 6) developed a graft infection (culture-proven Staphylococcus epidermidis) six months after surgery which was vigorously treated with antimicrobial therapy (cefazolin 5%, and tobramycin 1.3% eye drops). None of the patients were observed to have any retinal complications at the last follow-up.

Bottom Line: We evaluated the outcome of pars plana Ahmed glaucoma valve along with triamcinolone-assisted vitrectomy in 11 eyes with uncontrolled IOP on maximum tolerable antiglaucoma therapy.The mean preoperative IOP of 33.64 +/- 5.99 (range 26 to 44 mmHg) decreased to 17.09 +/- 2.26 (range 14 to 20 mmHg) and 17.45 +/- 1.81 mm of Hg (range 14 to 24 mmHg) at 6 and 12 months following surgery.The mean number of antiglaucoma medications decreased from 3.27 +/- 0.05 to 0.64 +/- 0.67 and 0.55 +/- 0.6 at 6 and 12 months following surgery.

View Article: PubMed Central - PubMed

Affiliation: Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT
Glaucoma drainage devices are an option in refractory glaucomas for control of intraocular pressure (IOP). We evaluated the outcome of pars plana Ahmed glaucoma valve along with triamcinolone-assisted vitrectomy in 11 eyes with uncontrolled IOP on maximum tolerable antiglaucoma therapy. The mean preoperative IOP of 33.64 +/- 5.99 (range 26 to 44 mmHg) decreased to 17.09 +/- 2.26 (range 14 to 20 mmHg) and 17.45 +/- 1.81 mm of Hg (range 14 to 24 mmHg) at 6 and 12 months following surgery. The mean number of antiglaucoma medications decreased from 3.27 +/- 0.05 to 0.64 +/- 0.67 and 0.55 +/- 0.6 at 6 and 12 months following surgery.

Show MeSH
Related in: MedlinePlus