Short-term to long-term results of Ahmed glaucoma valve implantation for uveitic glaucoma secondary to Behçet disease
Journal of Glaucoma, cilt.26, sa.1, ss.20-26, 2017 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 26 Sayı: 1
- Basım Tarihi: 2017
- Doi Numarası: 10.1097/ijg.0000000000000539
- Dergi Adı: Journal of Glaucoma
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.20-26
- Anahtar Kelimeler: Ahmed glaucoma valve, Behçet disease, Uveitic glaucoma
- Lokman Hekim Üniversitesi Adresli: Evet
Özet
Purpose: To evaluate short-term to long-term outcomes of Ahmed glaucoma valve (AGV) implantation in the management of uveitic glaucoma (UG) secondary to Behçet disease (BD). Patients and Methods: A retrospective chart review of 47 eyes of 35 patients with UG secondary to BD who underwent AGV implantation was conducted. Success was defined as having an intraocular pressure (IOP) between 6 and 21mm Hg with (qualified success) or without (complete success) antiglaucomatous medications and without need for further glaucoma surgery. Results: Mean postoperative follow-up was 57.72 ±26.13 months. Mean preoperative IOP was 35.40±8.33mm Hg versus 12.28±2.90mm Hg at the last follow-up visit (P<0.001). Mean number of preoperative topical antiglaucomatous medications was 2.96 ±0.29 versus 0.68 ±1.12 at the last follow-up visit (P<0.001). In all eyes, IOP could be maintained between 6 and 21mm Hg with or without antiglaucomatous medications during follow-up. The cumulative probability of complete success was 46.8% at 6 months, 40.4% at 12 months, and 35.9% at 36 months, and the cumulative probability of eyes without complication was 53.2% at 6 months, 46.5% at 12 months, and 39.6% at 24 months postoperatively based on Kaplan-Meier survival analysis. No persistent or irreparable complications were observed. Conclusions: This study includes one of the largest series of AGV implantation in the management of UG with the longest follow-up reported. AGV implantation can be considered as a primary surgical option in the management of UG secondary to BD with 100% total success rate (with or without medications).