Journal of the Korean Ophthalmological Society 2004;45(11):1872-1879.
Published online November 1, 2004.
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 )
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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