Ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens glaucoma

AIM: To evaluate the efficacy of Ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens(IOL)glaucoma.METHODS: Retrospective case series study. The clinical data of 18 patients(18 eyes)with IOL glaucoma from February 2020 to February 2022 in Liuzhou Red Cross...

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Main Author: Qiu-Qiong Deng
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2023-09-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2023/9/202309031.pdf
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author Qiu-Qiong Deng
author_facet Qiu-Qiong Deng
author_sort Qiu-Qiong Deng
collection DOAJ
description AIM: To evaluate the efficacy of Ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens(IOL)glaucoma.METHODS: Retrospective case series study. The clinical data of 18 patients(18 eyes)with IOL glaucoma from February 2020 to February 2022 in Liuzhou Red Cross Hospital were collected. All patients underwent Ahmed glaucoma valve implanting through the ciliary sulcus. The visual acuity, intraocular pressure, corneal endothelial cell density, corneal endothelial cell loss rate and complications were observed before operation and 1, 3, 6 and 12mo after operation.RESULTS: The mean intraocular pressure before operation was 43.41±5.33 mmHg. The mean intraocular pressure at 1, 3, 6 and 12mo after operation were 12.11±3.26, 13.82±4.12, 13.54±3.83 and 15.80±4.35 mmHg respectively. The mean intraocular pressure at each follow-up point after operation was significantly lower than that before operation(F=203.40, P<0.01). The corneal endothelial cell density at each time point after surgery was lower than that before surgery(F=6.18, P<0.01), but there were no significantly differences in the density and loss rate of corneal endothelial cell at 1, 3, 6 and 12mo after surgery(P>0.05). Furthermore, the overall surgery success rate was 83%.CONCLUSIONS: Ahmed glaucoma valve implanting through the ciliary sulcus is safe and effective in the treatment of IOL glaucoma, and the damage to corneal endothelial cells is mild. The corneal endothelial cells density doesn't decrease with time after surgery.
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spelling doaj.art-77b17ad9daba490fb10d0ae2269049d92023-08-22T08:49:53ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232023-09-012391578158010.3980/j.issn.1672-5123.2023.9.31202309031Ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens glaucomaQiu-Qiong Deng0Department of Ophthalmology, Liuzhou Red Cross Hospital, Liuzhou 545001, Guangxi Zhuang Autonomous Region, ChinaAIM: To evaluate the efficacy of Ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens(IOL)glaucoma.METHODS: Retrospective case series study. The clinical data of 18 patients(18 eyes)with IOL glaucoma from February 2020 to February 2022 in Liuzhou Red Cross Hospital were collected. All patients underwent Ahmed glaucoma valve implanting through the ciliary sulcus. The visual acuity, intraocular pressure, corneal endothelial cell density, corneal endothelial cell loss rate and complications were observed before operation and 1, 3, 6 and 12mo after operation.RESULTS: The mean intraocular pressure before operation was 43.41±5.33 mmHg. The mean intraocular pressure at 1, 3, 6 and 12mo after operation were 12.11±3.26, 13.82±4.12, 13.54±3.83 and 15.80±4.35 mmHg respectively. The mean intraocular pressure at each follow-up point after operation was significantly lower than that before operation(F=203.40, P<0.01). The corneal endothelial cell density at each time point after surgery was lower than that before surgery(F=6.18, P<0.01), but there were no significantly differences in the density and loss rate of corneal endothelial cell at 1, 3, 6 and 12mo after surgery(P>0.05). Furthermore, the overall surgery success rate was 83%.CONCLUSIONS: Ahmed glaucoma valve implanting through the ciliary sulcus is safe and effective in the treatment of IOL glaucoma, and the damage to corneal endothelial cells is mild. The corneal endothelial cells density doesn't decrease with time after surgery.http://ies.ijo.cn/cn_publish/2023/9/202309031.pdfahmed glaucoma valveglaucomaciliary sulcussurgerycorneal endothelial cellsintraocular lens eyes
spellingShingle Qiu-Qiong Deng
Ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens glaucoma
Guoji Yanke Zazhi
ahmed glaucoma valve
glaucoma
ciliary sulcus
surgery
corneal endothelial cells
intraocular lens eyes
title Ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens glaucoma
title_full Ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens glaucoma
title_fullStr Ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens glaucoma
title_full_unstemmed Ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens glaucoma
title_short Ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens glaucoma
title_sort ahmed glaucoma valve implanting through the ciliary sulcus in the treatment of intraocular lens glaucoma
topic ahmed glaucoma valve
glaucoma
ciliary sulcus
surgery
corneal endothelial cells
intraocular lens eyes
url http://ies.ijo.cn/cn_publish/2023/9/202309031.pdf
work_keys_str_mv AT qiuqiongdeng ahmedglaucomavalveimplantingthroughtheciliarysulcusinthetreatmentofintraocularlensglaucoma