Surgical Results of Trabeculectomy and Ahmed Valve Implantation Following a Previous Failed Trabeculectomy in Primary Congenital Glaucoma Patients.
10.3341/kjo.2015.29.2.109
- Author:
Naeun LEE
1
;
Kyoung Tak MA
;
Hyoung Won BAE
;
Samin HONG
;
Gong Je SEONG
;
Young Jae HONG
;
Chan Yun KIM
Author Information
1. Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. kcyeye@yuhs.ac
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Ahmed valve implantation;
Congenital glaucoma;
Surgical outcomes;
Trabeculectomy
- MeSH:
Child, Preschool;
Female;
Follow-Up Studies;
Glaucoma/congenital/physiopathology/*surgery;
*Glaucoma Drainage Implants;
Humans;
Infant;
Intraocular Pressure/*physiology;
Male;
Mitomycin/*adverse effects;
Nucleic Acid Synthesis Inhibitors/adverse effects;
Reoperation;
Retrospective Studies;
Time Factors;
Trabeculectomy/*adverse effects/*methods;
Treatment Failure;
Treatment Outcome;
*Visual Acuity
- From:Korean Journal of Ophthalmology
2015;29(2):109-114
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To compare the surgical results of trabeculectomy and Ahmed glaucoma valve implantation after a previous failed trabeculectomy. METHODS: A retrospective comparative case series review was performed on 31 eye surgeries in 20 patients with primary congenital glaucoma who underwent trabeculectomy or Ahmed glaucoma valve implantation after a previous failed trabeculectomy with mitomycin C. RESULTS: The preoperative mean intraocular pressure was 25.5 mmHg in the trabeculectomy group and 26.9 mmHg in the Ahmed glaucoma valve implantation group (p = 0.73). The 48-month postoperative mean intraocular pressure was 19.6 mmHg in the trabeculectomy group and 20.2 mmHg in the Ahmed glaucoma valve implantation group (p = 0.95). The 12-month trabeculectomy success rate was 69%, compared with 64% for Ahmed glaucoma valve implantation, and the 48-month success rates were 42% and 36% for trabeculectomy and valve implantation, respectively. The success rates following the entire follow-up period were not significantly different between the two groups (p > 0.05 by log rank test). Postoperative complications occurred in 25% of the trabeculectomy-operated eyes and 9% of the Ahmed-implanted eyes (p = 0.38). CONCLUSIONS: There was no significant difference in surgical outcome between the trabeculectomy and Ahmed glaucoma valve implantation groups, neither of which had favorable results. However, the trabeculectomy group demonstrated a higher prevalence of adverse complications such as post-operative endophthalmitis.
