Jaya Kaushik1,2, Jitendra Kumar Singh Parihar1, Vaibhav Kumar Jain3, Vijay Mathur1. 1. Department of Ophthalmology, Army Hospital (Research and Referral), Delhi Cantt, New Delhi, 110010, India. 2. Department of Ophthalmology, Armed Forces Medical College, Pune, India. 3. Department of Ophthalmology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, 226014, Uttar Pradesh, India. vaibhav.jainaiims@gmail.com.
Abstract
PURPOSE: To evaluate the efficacy and safety of Ahmed valve implantation in childhood glaucoma associated with Sturge-Weber syndrome (SWS). METHODS: A retrospective chart review of patients who underwent primary Ahmed valve implantation in childhood glaucoma associated with SWS. The outcome measures were success rate (Intraocular pressure (IOP) >5 and <21 mm Hg without additional surgical maneuver), and operative complications. RESULTS: Twenty-four eyes of 18 patients were analyzed. Mean IOP (26.21 ± 3.52 to 12.27 ± 1.27 mm Hg) and mean number of anti-glaucoma medicines (3.92 ± 0.28 to 1.5 ± 1) reduced significantly after the surgery at the mean follow-up of 2.12 ± 0.87 years (P = < 0.05). The cumulative probability of success rate was 75% (Confidence Interval 95%, 60 to 100%) by Kaplan-Meier survival curve analysis. Failed eyes [6 (25%)], hyphema [4 (16.67%)], hypotony [3 (12.5%)], choroidal detachment [3 (12.5%)], tube-cornea touch [2 (8.33%), and visually significant cataract [4 (16.67%)] were the complications observed in post-operative period. CONCLUSION: Primary Ahmed valve implantation may provide a safe and effective option in the management of childhood glaucoma associated with SWS.
PURPOSE: To evaluate the efficacy and safety of Ahmed valve implantation in childhood glaucoma associated with Sturge-Weber syndrome (SWS). METHODS: A retrospective chart review of patients who underwent primary Ahmed valve implantation in childhood glaucoma associated with SWS. The outcome measures were success rate (Intraocular pressure (IOP) >5 and <21 mm Hg without additional surgical maneuver), and operative complications. RESULTS: Twenty-four eyes of 18 patients were analyzed. Mean IOP (26.21 ± 3.52 to 12.27 ± 1.27 mm Hg) and mean number of anti-glaucoma medicines (3.92 ± 0.28 to 1.5 ± 1) reduced significantly after the surgery at the mean follow-up of 2.12 ± 0.87 years (P = < 0.05). The cumulative probability of success rate was 75% (Confidence Interval 95%, 60 to 100%) by Kaplan-Meier survival curve analysis. Failed eyes [6 (25%)], hyphema [4 (16.67%)], hypotony [3 (12.5%)], choroidal detachment [3 (12.5%)], tube-cornea touch [2 (8.33%), and visually significant cataract [4 (16.67%)] were the complications observed in post-operative period. CONCLUSION: Primary Ahmed valve implantation may provide a safe and effective option in the management of childhood glaucoma associated with SWS.
Authors: Steven J Gedde; Joyce C Schiffman; William J Feuer; Leon W Herndon; James D Brandt; Donald L Budenz Journal: Am J Ophthalmol Date: 2012-01-15 Impact factor: 5.258