Comparison of Short-term Surgical Outcomes of Ahmed Glaucoma Valve Implant between 96 mm2 and 184 mm2 of the Surface Area. |
Sang Joon Oh, In Sik Kim, Young Jae Hong, Gong Jae Seong, Chan Yun Kim |
The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. kcyeye@yumc.yonsei.ac.kr |
아메드 밸브의 표면적에 따른 단기 수술결과 : 96㎟와 184㎟ |
오상준 ( Sang Joon Oh ) , 김인식 ( In Sik Kim ) , 홍영재 ( Young Jae Hong ) , 성공제 ( Gong Jae Seong ) , 김찬윤 ( Chan Yun Kim ) |
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Abstract |
PURPOSE To compare the short-term surgical outcomes of Ahmed glaucoma valve implant with a surface area between 96 mm2 and 184 mm2. METHODS: The outcomes of thirteen eyes of 13 patients with refractory glaucoma who had undergone 96 mm2-sized Ahmed glaucoma valve implantation were compared with those of 13 eyes of 13 patients with 184 mm2-sized Ahmed glaucoma valve implantation. RESULTS: Average age and preoperative intraocular pressure (IOP) were statistically indistinguishable between the two groups (p=0.54 and 0.40, respectively). Average follow-up period and final IOP were also statistically similar (p=0.15 and 1.00, respectively). Comparing the overall IOPs and the numbers of antiglaucoma medications, the IOP of postoperative day 1 with the 184 mm2-group was only relatively lower (p=0.07). The 2-year success rates were 18.0% for the 96 mm2-group and 69.2% for the 184 mm2-group (Ed-there is no respective comparison here) with Kaplan-Meier survival analysis (p=0.0018). The rates of complications and re-operation were similar between the two groups. CONCLUSIONS: The average postoperative IOPs were not statistically different between the two groups. However, the success rate was better in the 184 mm2-group than in the 96 mm2-group. |
Key Words:
Ahmed glaucoma valve implant;Kaplan-Meier survival analysis;Refractory glaucoma;Surface area |
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