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KMID : 0213520150290020109
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Korean Journal of Ophthalmology
2015 Volume.29 No. 2 p.109 ~ p.114
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Surgical Results of Trabeculectomy and Ahmed Valve Implantation Following a Previous Failed Trabeculectomy in Primary Congenital Glaucoma Patients
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Lee Na-Eun
Ma Kyoung-Tak
Bae Hyoung-Won
Hong Sa-Min
Seong Gong-Je
Hong Young-Jae
Kim Chan-Yun
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Abstract
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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.
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KEYWORD
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Ahmed valve implantation, Congenital glaucoma, Surgical outcomes, Trabeculectomy
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