Ahmed glaucoma valve implantation with the tube placement in the ciliary sulcus: short-term results
Purpose To evaluate the clinical outcomes of pseudophakic/aphakic eyes with uncontrolled glaucoma that underwent Ahmed glaucoma valve implantation with the tube placement in the ciliary sulcus. Methods Medical records of the patients who underwent Ahmed glaucoma valve implantation through the ciliar...
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| Veröffentlicht in: | International ophthalmology 2022-03, Vol.42 (3), p.969-980 |
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| creator | Arikan, Gul Akbulut, Betul Utine, Canan Asli Ayhan, Ziya Kaya, Mahmut Ozturk, Taylan Gunenc, Uzeyir |
| description | Purpose
To evaluate the clinical outcomes of pseudophakic/aphakic eyes with uncontrolled glaucoma that underwent Ahmed glaucoma valve implantation with the tube placement in the ciliary sulcus.
Methods
Medical records of the patients who underwent Ahmed glaucoma valve implantation through the ciliary sulcus, between December 2017 and June 2019, were reviewed retrospectively. Patients’ age, gender, glaucoma diagnosis, visual acuity, intraocular pressure levels, and complications were recorded.
Results
Forty-seven eyes of 43 patients with glaucoma were enrolled. The mean age was 54.5 ± 19.9 years (range, 7–88 years) at the time of surgery, and the mean postoperative follow-up period was 7.9 ± 3.4 months (range, 3–16 months). The mean preoperative intraocular pressure level was 35.2 ± 6.8 mmHg (range, 25–55 mmHg), and it was found as 15.6 ± 5.4 mmHg (range, 9–33 mmHg) at the last follow-up visit. Decrease in intraocular pressure level was statistically significant (
P
|
| doi_str_mv | 10.1007/s10792-021-02080-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2580948383</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2580948383</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-a0a1cb3f76b25be01ebaa2188cba267f72dcc81f249de36b2d7ca8b97e0511223</originalsourceid><addsrcrecordid>eNp9kU1P4zAQhq0Vq6UL_IE9IEtcuGSZsZPY4YYq9kOqxAXOluNOaFA-iu204t_jbbsgceBgWZp55rXnfRn7gfATAdRVQFCVyEBgOqAh235hMyyUzEQp4YjNAMsiKxTgMfsewhMAVKoqv7FjmZdCFxpnzN2selryx85Obuwt39huQ7zt150doo3tOPBtG1c8rojHqSaeGo56GiJvh13VtV1r_QsPU-emcM3DavQxi-R77ikVYzhlXxvbBTo73Cfs4dft_fxPtrj7_Xd-s8hcjlXMLFh0tWxUWYuiJkCqrRWotautKFWjxNI5jY3IqyXJBC2Vs7quFEGBKIQ8YZd73bUfnycK0fRtcNSlVWicghGFhirXUsuEXnxAn8bJD-l3JnmnUeUqh0SJPeX8GIKnxqx926dlDYL5F4HZR2BSBGYXgdmmofOD9FQna99G_nueALkHQmoNj-Tf3_5E9hVQRpMD</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2638174740</pqid></control><display><type>article</type><title>Ahmed glaucoma valve implantation with the tube placement in the ciliary sulcus: short-term results</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Arikan, Gul ; Akbulut, Betul ; Utine, Canan Asli ; Ayhan, Ziya ; Kaya, Mahmut ; Ozturk, Taylan ; Gunenc, Uzeyir</creator><creatorcontrib>Arikan, Gul ; Akbulut, Betul ; Utine, Canan Asli ; Ayhan, Ziya ; Kaya, Mahmut ; Ozturk, Taylan ; Gunenc, Uzeyir</creatorcontrib><description>Purpose
To evaluate the clinical outcomes of pseudophakic/aphakic eyes with uncontrolled glaucoma that underwent Ahmed glaucoma valve implantation with the tube placement in the ciliary sulcus.
Methods
Medical records of the patients who underwent Ahmed glaucoma valve implantation through the ciliary sulcus, between December 2017 and June 2019, were reviewed retrospectively. Patients’ age, gender, glaucoma diagnosis, visual acuity, intraocular pressure levels, and complications were recorded.
Results
Forty-seven eyes of 43 patients with glaucoma were enrolled. The mean age was 54.5 ± 19.9 years (range, 7–88 years) at the time of surgery, and the mean postoperative follow-up period was 7.9 ± 3.4 months (range, 3–16 months). The mean preoperative intraocular pressure level was 35.2 ± 6.8 mmHg (range, 25–55 mmHg), and it was found as 15.6 ± 5.4 mmHg (range, 9–33 mmHg) at the last follow-up visit. Decrease in intraocular pressure level was statistically significant (
P
< 0.001). At the last follow-up visit, success (postoperative IOP ≥ 6 mmHg and ≤ 21 mmHg with or without antiglaucomatous medications, without further surgery for IOP control, without loss of light perception and without removal of the implant) was achieved in 41 eyes (87.2%). Hyphema was the most common postoperative complication and developed in 11 eyes (23.4%) and resolved spontaneously in all of them within one month.
Conclusion
In pseudophakic or aphakic eyes with uncontrolled glaucoma, placement of Ahmed glaucoma valve tube in the ciliary sulcus is a safe and effective procedure. Ciliary sulcus can be considered as a potential space during tube shunt surgery in eyes with high risk of tube–corneal touch or corneal decompensation.</description><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-021-02080-w</identifier><identifier>PMID: 34628581</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Acuity ; Adult ; Aged ; Complications ; Cornea ; Eye ; Eye (anatomy) ; Follow-Up Studies ; Glaucoma ; Glaucoma - etiology ; Glaucoma - surgery ; Glaucoma Drainage Implants - adverse effects ; Humans ; Implantation ; Intraocular Pressure ; Medical records ; Medicine ; Medicine & Public Health ; Middle Aged ; Ophthalmology ; Original Paper ; Patients ; Postoperative ; Postoperative Complications - epidemiology ; Postoperative Complications - surgery ; Pressure ; Prosthesis Implantation - methods ; Retrospective Studies ; Statistical analysis ; Surgery ; Treatment Outcome ; Visual acuity</subject><ispartof>International ophthalmology, 2022-03, Vol.42 (3), p.969-980</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature B.V.</rights><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-a0a1cb3f76b25be01ebaa2188cba267f72dcc81f249de36b2d7ca8b97e0511223</citedby><cites>FETCH-LOGICAL-c419t-a0a1cb3f76b25be01ebaa2188cba267f72dcc81f249de36b2d7ca8b97e0511223</cites><orcidid>0000-0003-0098-8250 ; 0000-0001-6255-3020 ; 0000-0002-4385-2196 ; 0000-0001-6633-0553 ; 0000-0003-0504-0370 ; 0000-0002-0608-9195 ; 0000-0002-4131-2532</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10792-021-02080-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-021-02080-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34628581$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arikan, Gul</creatorcontrib><creatorcontrib>Akbulut, Betul</creatorcontrib><creatorcontrib>Utine, Canan Asli</creatorcontrib><creatorcontrib>Ayhan, Ziya</creatorcontrib><creatorcontrib>Kaya, Mahmut</creatorcontrib><creatorcontrib>Ozturk, Taylan</creatorcontrib><creatorcontrib>Gunenc, Uzeyir</creatorcontrib><title>Ahmed glaucoma valve implantation with the tube placement in the ciliary sulcus: short-term results</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose
To evaluate the clinical outcomes of pseudophakic/aphakic eyes with uncontrolled glaucoma that underwent Ahmed glaucoma valve implantation with the tube placement in the ciliary sulcus.
Methods
Medical records of the patients who underwent Ahmed glaucoma valve implantation through the ciliary sulcus, between December 2017 and June 2019, were reviewed retrospectively. Patients’ age, gender, glaucoma diagnosis, visual acuity, intraocular pressure levels, and complications were recorded.
Results
Forty-seven eyes of 43 patients with glaucoma were enrolled. The mean age was 54.5 ± 19.9 years (range, 7–88 years) at the time of surgery, and the mean postoperative follow-up period was 7.9 ± 3.4 months (range, 3–16 months). The mean preoperative intraocular pressure level was 35.2 ± 6.8 mmHg (range, 25–55 mmHg), and it was found as 15.6 ± 5.4 mmHg (range, 9–33 mmHg) at the last follow-up visit. Decrease in intraocular pressure level was statistically significant (
P
< 0.001). At the last follow-up visit, success (postoperative IOP ≥ 6 mmHg and ≤ 21 mmHg with or without antiglaucomatous medications, without further surgery for IOP control, without loss of light perception and without removal of the implant) was achieved in 41 eyes (87.2%). Hyphema was the most common postoperative complication and developed in 11 eyes (23.4%) and resolved spontaneously in all of them within one month.
Conclusion
In pseudophakic or aphakic eyes with uncontrolled glaucoma, placement of Ahmed glaucoma valve tube in the ciliary sulcus is a safe and effective procedure. Ciliary sulcus can be considered as a potential space during tube shunt surgery in eyes with high risk of tube–corneal touch or corneal decompensation.</description><subject>Acuity</subject><subject>Adult</subject><subject>Aged</subject><subject>Complications</subject><subject>Cornea</subject><subject>Eye</subject><subject>Eye (anatomy)</subject><subject>Follow-Up Studies</subject><subject>Glaucoma</subject><subject>Glaucoma - etiology</subject><subject>Glaucoma - surgery</subject><subject>Glaucoma Drainage Implants - adverse effects</subject><subject>Humans</subject><subject>Implantation</subject><subject>Intraocular Pressure</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Original Paper</subject><subject>Patients</subject><subject>Postoperative</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - surgery</subject><subject>Pressure</subject><subject>Prosthesis Implantation - methods</subject><subject>Retrospective Studies</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Visual acuity</subject><issn>0165-5701</issn><issn>1573-2630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1P4zAQhq0Vq6UL_IE9IEtcuGSZsZPY4YYq9kOqxAXOluNOaFA-iu204t_jbbsgceBgWZp55rXnfRn7gfATAdRVQFCVyEBgOqAh235hMyyUzEQp4YjNAMsiKxTgMfsewhMAVKoqv7FjmZdCFxpnzN2selryx85Obuwt39huQ7zt150doo3tOPBtG1c8rojHqSaeGo56GiJvh13VtV1r_QsPU-emcM3DavQxi-R77ikVYzhlXxvbBTo73Cfs4dft_fxPtrj7_Xd-s8hcjlXMLFh0tWxUWYuiJkCqrRWotautKFWjxNI5jY3IqyXJBC2Vs7quFEGBKIQ8YZd73bUfnycK0fRtcNSlVWicghGFhirXUsuEXnxAn8bJD-l3JnmnUeUqh0SJPeX8GIKnxqx926dlDYL5F4HZR2BSBGYXgdmmofOD9FQna99G_nueALkHQmoNj-Tf3_5E9hVQRpMD</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Arikan, Gul</creator><creator>Akbulut, Betul</creator><creator>Utine, Canan Asli</creator><creator>Ayhan, Ziya</creator><creator>Kaya, Mahmut</creator><creator>Ozturk, Taylan</creator><creator>Gunenc, Uzeyir</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0098-8250</orcidid><orcidid>https://orcid.org/0000-0001-6255-3020</orcidid><orcidid>https://orcid.org/0000-0002-4385-2196</orcidid><orcidid>https://orcid.org/0000-0001-6633-0553</orcidid><orcidid>https://orcid.org/0000-0003-0504-0370</orcidid><orcidid>https://orcid.org/0000-0002-0608-9195</orcidid><orcidid>https://orcid.org/0000-0002-4131-2532</orcidid></search><sort><creationdate>20220301</creationdate><title>Ahmed glaucoma valve implantation with the tube placement in the ciliary sulcus: short-term results</title><author>Arikan, Gul ; Akbulut, Betul ; Utine, Canan Asli ; Ayhan, Ziya ; Kaya, Mahmut ; Ozturk, Taylan ; Gunenc, Uzeyir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-a0a1cb3f76b25be01ebaa2188cba267f72dcc81f249de36b2d7ca8b97e0511223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acuity</topic><topic>Adult</topic><topic>Aged</topic><topic>Complications</topic><topic>Cornea</topic><topic>Eye</topic><topic>Eye (anatomy)</topic><topic>Follow-Up Studies</topic><topic>Glaucoma</topic><topic>Glaucoma - etiology</topic><topic>Glaucoma - surgery</topic><topic>Glaucoma Drainage Implants - adverse effects</topic><topic>Humans</topic><topic>Implantation</topic><topic>Intraocular Pressure</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Original Paper</topic><topic>Patients</topic><topic>Postoperative</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - surgery</topic><topic>Pressure</topic><topic>Prosthesis Implantation - methods</topic><topic>Retrospective Studies</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Visual acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arikan, Gul</creatorcontrib><creatorcontrib>Akbulut, Betul</creatorcontrib><creatorcontrib>Utine, Canan Asli</creatorcontrib><creatorcontrib>Ayhan, Ziya</creatorcontrib><creatorcontrib>Kaya, Mahmut</creatorcontrib><creatorcontrib>Ozturk, Taylan</creatorcontrib><creatorcontrib>Gunenc, Uzeyir</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arikan, Gul</au><au>Akbulut, Betul</au><au>Utine, Canan Asli</au><au>Ayhan, Ziya</au><au>Kaya, Mahmut</au><au>Ozturk, Taylan</au><au>Gunenc, Uzeyir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ahmed glaucoma valve implantation with the tube placement in the ciliary sulcus: short-term results</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>42</volume><issue>3</issue><spage>969</spage><epage>980</epage><pages>969-980</pages><issn>0165-5701</issn><eissn>1573-2630</eissn><abstract>Purpose
To evaluate the clinical outcomes of pseudophakic/aphakic eyes with uncontrolled glaucoma that underwent Ahmed glaucoma valve implantation with the tube placement in the ciliary sulcus.
Methods
Medical records of the patients who underwent Ahmed glaucoma valve implantation through the ciliary sulcus, between December 2017 and June 2019, were reviewed retrospectively. Patients’ age, gender, glaucoma diagnosis, visual acuity, intraocular pressure levels, and complications were recorded.
Results
Forty-seven eyes of 43 patients with glaucoma were enrolled. The mean age was 54.5 ± 19.9 years (range, 7–88 years) at the time of surgery, and the mean postoperative follow-up period was 7.9 ± 3.4 months (range, 3–16 months). The mean preoperative intraocular pressure level was 35.2 ± 6.8 mmHg (range, 25–55 mmHg), and it was found as 15.6 ± 5.4 mmHg (range, 9–33 mmHg) at the last follow-up visit. Decrease in intraocular pressure level was statistically significant (
P
< 0.001). At the last follow-up visit, success (postoperative IOP ≥ 6 mmHg and ≤ 21 mmHg with or without antiglaucomatous medications, without further surgery for IOP control, without loss of light perception and without removal of the implant) was achieved in 41 eyes (87.2%). Hyphema was the most common postoperative complication and developed in 11 eyes (23.4%) and resolved spontaneously in all of them within one month.
Conclusion
In pseudophakic or aphakic eyes with uncontrolled glaucoma, placement of Ahmed glaucoma valve tube in the ciliary sulcus is a safe and effective procedure. Ciliary sulcus can be considered as a potential space during tube shunt surgery in eyes with high risk of tube–corneal touch or corneal decompensation.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>34628581</pmid><doi>10.1007/s10792-021-02080-w</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-0098-8250</orcidid><orcidid>https://orcid.org/0000-0001-6255-3020</orcidid><orcidid>https://orcid.org/0000-0002-4385-2196</orcidid><orcidid>https://orcid.org/0000-0001-6633-0553</orcidid><orcidid>https://orcid.org/0000-0003-0504-0370</orcidid><orcidid>https://orcid.org/0000-0002-0608-9195</orcidid><orcidid>https://orcid.org/0000-0002-4131-2532</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International ophthalmology, 2022-03, Vol.42 (3), p.969-980 |
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| subjects | Acuity Adult Aged Complications Cornea Eye Eye (anatomy) Follow-Up Studies Glaucoma Glaucoma - etiology Glaucoma - surgery Glaucoma Drainage Implants - adverse effects Humans Implantation Intraocular Pressure Medical records Medicine Medicine & Public Health Middle Aged Ophthalmology Original Paper Patients Postoperative Postoperative Complications - epidemiology Postoperative Complications - surgery Pressure Prosthesis Implantation - methods Retrospective Studies Statistical analysis Surgery Treatment Outcome Visual acuity |
| title | Ahmed glaucoma valve implantation with the tube placement in the ciliary sulcus: short-term results |
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