Intraoperative management of nonfunctioning Ahmed glaucoma valve implant

Ophthalmic Surg Lasers Imaging. 2006 Jan-Feb;37(1):62-4.

Abstract

A 62-year-old woman with neovascular glaucoma underwent filtering surgery with the Ahmed glaucoma valve (New World Medical, Inc., Rancho Cucamonga, CA). Intraoperative hypotony secondary to a defective valve was noted and managed by excising the valve mechanism. The implant was then treated as if it was non-valved by placement of an obturator suture. The postoperative course was unremarkable for a non-valved implant. This case demonstrates how intraoperative hypotony secondary to overfiltration of an Ahmed glaucoma valve implant can be successfully managed by converting to a non-valved implant.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Female
  • Follow-Up Studies
  • Glaucoma Drainage Implants*
  • Glaucoma, Neovascular / surgery
  • Humans
  • Intraocular Pressure
  • Intraoperative Period
  • Middle Aged
  • Ocular Hypotension / etiology
  • Ocular Hypotension / physiopathology
  • Ocular Hypotension / surgery*
  • Prosthesis Failure