First Author: J.Miniewicz-Kurkowska POLAND
Co Author(s): M. Dorecka D. Romaniuk A. Michalska W. Romaniuk
Purpose:
Analysis of results of AGV implantation in treatment of refractory glaucoma in pseudophakic and aphakic eyes.
Setting:
Clinical Department of Ophthalmology, Medical University of Silesia, Katowice, Poland
Methods:
The treated group consisted of 42 patients ( 42 eyes) : 24 females, aged 19-58 years ; 18 males, 12 aphakic eyes after congenital cataract removal and 30 pseudophakic eyes. The procedures of AGV implantation ointo anterior chamber were performed between 2007 and 2010 in Clinical Department of Ophthalmology, Katowice, Poland. Follow-up period was 24 months. Best corrected visual acuity(BCVA),intraocular pressure (IOP), and post-operative complications were evaluated. The patients were examined preoperatively, on day 1, 7, month 1,6,12 and 24 postoperatively.
Results:
After AGV implantation the intraocular pressure (IOP) significantly decreased from mean 37,9 mmHg to mean 16,1 mmHg, the mean number of medication also changed from 3,2 into 0,7. BCVA did not significantly change in the follow-up period.Among early postoperative complications transient mild hypotony occured in 9 eyes, in 3 eyes we noted transient uveal effusion resulting from hypotony. In 2 eyes there was bleeding into anterior chamber, in one eye occlusion of the draining system with iris. Late complications include occlusion of the valve in two eyes and exterioration of valve elements in one eye.
Conclusions:
1.Implantation of AGV draining system is safe an effective in reducing IOP and mean number of medication taken by the patient in refractory glaucoma in aphakic and pseudophakic eyes.
2. A small number of early and late postoperative complications allows the AGV implantation in difficult cases of refractory glaucoma in both aphakic and pseuophakic eyes. FINANCIAL DISCLOSURE?: No
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