Ahmed Glaucoma Valve Implantation to Reduce Intraocular Pressure: Updated Perspectives

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ARIKAN G., Dokuz U. G.

CLINICAL OPHTHALMOLOGY, vol.17, pp.1833-1845, 2023 (ESCI) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 17
  • Publication Date: 2023
  • Doi Number: 10.2147/opth.s342721
  • Journal Name: CLINICAL OPHTHALMOLOGY
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, EMBASE, Directory of Open Access Journals
  • Page Numbers: pp.1833-1845
  • Keywords: Ahmed glaucoma valve, glaucoma, glaucoma drainage device, tube shunt surgery
  • Open Archive Collection: AVESIS Open Access Collection
  • Dokuz Eylül University Affiliated: Yes

Abstract

Trabeculectomy and glaucoma drainage device implantation are the most commonly performed glaucoma surgeries worldwide. Although trabeculectomy is the gold standard, at the present time there is an increase in the use of glaucoma drainage devices. The Ahmed glaucoma valve is one of the most widely used glaucoma drainage devices worldwide. Corneal endothelial cell loss and eventually corneal decompensation is one of the serious complication of glaucoma drainage device implantation. To avoid this, drainage tube can be inserted into the ciliary sulcus instead of the anterior chamber, especially in eyes with high risk for corneal decompensation. Tube/plate exposure, hypertensive phase, endophthalmitis, cataract formation, diplopia and ocular hypotony are the other potential complications that can develop after Ahmed glaucoma valve implantation.