Comparison of the New Low-Cost Nonvalved Glaucoma Drainage Device with Ahmed Glaucoma Valve in Refractory Pediatric Glaucoma in Indian Eyes.

Ophthalmology. Glaucoma
Sirisha SenthilChandra S Garudadri

Abstract

To compare outcomes of a nonvalved glaucoma drainage device (the Aurolab aqueous drainage device [AADI] with a valved glaucoma drainage device (the Ahmed glaucoma valve [AGV]) in refractory pediatric glaucoma. Retrospective interventional case series. One hundred sixteen eyes of 97 children with refractory pediatric glaucoma. Children (≤16 years) treated with drainage implants from January 2007 through December 2016 with a minimum follow-up of 6 months (operated by a single surgeon) were included. Success was defined as intraocular pressure (IOP) ≥6 mmHg or ≤21 mmHg (complete without antiglaucoma medications [AGMs] and qualified with AGM); repeat glaucoma surgery or loss of light perception was failure. Comparison of success rates and complications with AADI (350 mm2) and silicone AGV (models FP7 [182-mm2 surface area] and FP8 [102-mm2 surface area]) implantation. Outcomes of 116 eyes of 97 children (AADI, 36 eyes; AGV, 85 eyes; FP7, n = 14; FP8, n = 72) were analyzed. Median follow-up for AADI was 16.8 months (interquartile range [IQR], 11.7-24.5 months) and for AGV was 27 months (IQR, 15.3-52.3 months). Preoperative parameters (age, IOP, number of AGMs) were similar in both groups except number of previous nonglaucoma surgeri...Continue Reading

Citations

Oct 6, 2019·The British Journal of Ophthalmology·George Varghese PuthuranAlan L Robin
Jun 23, 2020·Seminars in Ophthalmology·Abdelrahman M Elhusseiny, Deborah K VanderVeen
May 29, 2020·Indian Journal of Ophthalmology·Sirisha Senthil
Jul 6, 2019·The British Journal of Ophthalmology·Surinder Singh PandavSrishti Raj
Jan 3, 2020·Current Opinion in Ophthalmology·Rizwan MalikDeepak P Edward

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