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  3. Vol. 6 No. 1 (2022): Winter 2022
  4. Original Articles

Vol. 6 No. 1 (2022)

May 2023

Post-Operative Implant Exposure After Ahmed Glaucoma Valve Implantation: A Case Series

  • Maryam Yadgari
  • Seyyed Morteza Hosseini Imeni
  • Ahmad Hasan

Journal of Ophthalmic and Optometric Sciences, Vol. 6 No. 1 (2022), 30 May 2023 , Page 14-20
https://doi.org/10.22037/joos.v6i1.40468 Published: 2023-10-30 — Updated on 2022-01-01

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Abstract

Background: This study aimed to describe the prevalence, risk factors, clinical presentation, management, and outcomes of post-operative Ahmed glaucoma valve (AGV) tube exposure in patients with a history of glaucoma drainage devices presenting to the Imam Hossein Hospital, Iran.

Material and Methods: In this retrospective case series, patients’ records with the diagnosis of glaucoma drainage device exposure were reviewed. Records of eight eyes of eight patients (three males, five females) were examined.  The primary outcome of this study was a management technique for glaucoma drainage device exposure.

Results: All patients suffered post-operative implant exposure after Ahmed glaucoma valve implantation for uncontrolled glaucoma. Most patients underwent subsequent glaucoma drainage device placement plus conjunctival graft, and three performed cyclodestructive procedures to control their glaucoma.

Conclusions: Based on the results, the history of past ocular procedures for glaucoma drainage device exposure and poor outcomes following repair in this subset of patients is essential.

Keywords:
  • Ahmed Glaucoma Valve
  • Exposure
  • Glaucoma
  • 2022-01-01 (2)
  • 2023-10-30 (1)
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How to Cite

Yadgari, M., Hosseini Imeni , S. M., & Hasan, A. (2022). Post-Operative Implant Exposure After Ahmed Glaucoma Valve Implantation: A Case Series . Journal of Ophthalmic and Optometric Sciences, 6(1), 14–20. https://doi.org/10.22037/joos.v6i1.40468 (Original work published October 30, 2023)
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References

Levinson JD, Giangiacomo AL, Beck AD, Pruett PB, Superak HM, Lynn MJ, et al. Glaucoma drainage devices: risk of exposure and infection. American Journal of Ophthalmology. 2015;160(3):516-21. e2.

Alawi A, AlBeshri A, Schargel K, Ahmad K, Malik R. Tube revision outcomes for exposure with different repair techniques. Clinical Ophthalmology. 2020:3001-8.

Sheha H, Tello C, Al-Aswad LA, Sayed MS, Lee RK. Outcomes of the shunt tube exposure prevention study: a randomized clinical trial. Ophthalmology Glaucoma. 2019;2(6):392-401.

Huddleston SM, Feldman RM, Budenz DL, Bell NP, Lee DA, Chuang AZ, et al. Aqueous shunt exposure: a retrospective review of repair outcome. Journal of glaucoma. 2013;22(6):433-8.

Al-Beishri AS, Malik R, Freidi A, Ahmad S. Risk factors for glaucoma drainage device exposure in a middle-eastern population. Journal of Glaucoma. 2019;28(6):529-34.

Muir KW, Lim A, Stinnett S, Kuo A, Tseng H, Walsh MM. Risk factors for exposure of glaucoma drainage devices: a retrospective observational study. BMJ open. 2014;4(5):e004560.

Chaku M, Netland PA, Ishida K, Rhee DJ. Risk factors for tube exposure as a late complication of glaucoma drainage implant surgery. Clinical Ophthalmology. 2016:547-53.

Byun YS, Lee NY, Park CK. Risk factors of implant exposure outside the conjunctiva after Ahmed glaucoma valve implantation. Japanese journal of ophthalmology. 2009;53:114-9.

Trubnik V, Zangalli C, Moster MR, Chia T, Ali M, Martinez P, et al. Evaluation of risk factors for glaucoma drainage device–related erosions: a retrospective case-control study. Journal of glaucoma. 2015;24(7):498-502.

Feizi S, Alemzadeh-Ansari M, Karimian F, Esfandiari H. Use of erythropoietin in ophthalmology: A review. Survey of Ophthalmology. 2022;67(2):427-39.

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