Korean J Ophthalmol.  2013 Oct;27(5):361-367. 10.3341/kjo.2013.27.5.361.

Comparison of the Outcome of Silicone Ahmed Glaucoma Valve Implantation with a Surface Area between 96 and 184 mm2 in Adult Eyes

• Koh KM
• Hwang YH
• Jung JJ
• Sohn YH
• Kim HK

• KMID: 1707290
• DOI: http://doi.org/10.3341/kjo.2013.27.5.361

Abstract

PURPOSE
To compare the success rates, complications, and visual outcomes between silicone Ahmed glaucoma valve (AGV) implantation with 96 mm2 (FP8) or 184 mm2 (FP7) surface areas.
METHODS
This study is a retrospective review of the records from 132 adult patients (134 eyes) that underwent silicone AGV implant surgery. Among them, the outcomes of 24 eyes from 24 patients with refractory glaucoma who underwent FP8 AGV implantation were compared with 76 eyes from 76 patients who underwent FP7 AGV implantation. Preoperative and postoperative data, including intraocular pressure (IOP), visual acuity, number of medications, and complications were compared between the 2 groups.
RESULTS
There were no significant differences in baseline characteristics between the 2 groups (p > 0.05). The postoperative visual acuity of the patients in the FP8 group was better than that of the patients in the FP7 group in some early postoperative periods (p < 0.05); however, after 10 postoperative months, visual acuity was not significantly different through the 3-year follow-up period (p > 0.05). Postoperative IOP was not significantly different between the 2 groups (p > 0.05) except for IOP on postoperative day 1 (11.42 mmHg for the FP7 group and 7.42 mmHg for the FP8 group; p = 0.031). There was no statistical difference in success rates, final IOP, number of medications, or complication rates between the 2 groups (p > 0.05).
CONCLUSIONS
The FP7 and FP8 AGV implants showed no difference in terms of vision preservation, IOP reduction, and number of glaucoma medications required.

Keyword

Filtering surgery; Glaucoma drainage implants

MeSH Terms

Adult
Female
Glaucoma/physiopathology/*surgery
*Glaucoma Drainage Implants
Humans
Intraocular Pressure/*physiology
Male
Middle Aged
Prosthesis Design
Retrospective Studies
*Silicone Elastomers
Tonometry, Ocular
Treatment Outcome
Visual Acuity
Silicone Elastomers

Figure

• 

  Fig. 1 Kaplan-Meier survival curves illustrating the cumulative success rates of both Ahmed glaucoma valve implantation groups. The final success rate 3 years after the operation was 72.7% for the FP7 group and 79.2% for the FP8 group (p = 0.535, log-rank test).

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