Ahmed glaucoma valve implant: surgical technique and complications

Ivano Riva,1 Gloria Roberti,1 Francesco Oddone,1 Anastasios GP Konstas,2 Luciano Quaranta3 1IRCCS “Fondazione GB Bietti per l’Oftalmologia”, Rome, Italy; 21st University Department of Ophthalmology, Glaucoma Unit, AHEPA Hospital, Thessaloniki, Greece; 3Department of Me...

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Autores principales: Riva I, Roberti G, Oddone F, Konstas AGP, Quaranta L
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Lenguaje:EN
Publicado: Dove Medical Press 2017
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Acceso en línea:https://doaj.org/article/0417b7b4e6c241f196d45cbf1a8a3ab6
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spelling oai:doaj.org-article:0417b7b4e6c241f196d45cbf1a8a3ab62021-12-02T00:51:22ZAhmed glaucoma valve implant: surgical technique and complications1177-5483https://doaj.org/article/0417b7b4e6c241f196d45cbf1a8a3ab62017-02-01T00:00:00Zhttps://www.dovepress.com/ahmed-glaucoma-valve-implant-surgical-technique-and-complications-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Ivano Riva,1 Gloria Roberti,1 Francesco Oddone,1 Anastasios GP Konstas,2 Luciano Quaranta3 1IRCCS “Fondazione GB Bietti per l’Oftalmologia”, Rome, Italy; 21st University Department of Ophthalmology, Glaucoma Unit, AHEPA Hospital, Thessaloniki, Greece; 3Department of Medical and Surgical Specialties, Section of Ophthalmology, University of Brescia, Brescia, Italy Abstract: Implantation of Ahmed glaucoma valve is an effective surgical technique to reduce intraocular pressure in patients affected with glaucoma. While in the past, the use of this device was reserved to glaucoma refractory to multiple filtration surgical procedures, up-to-date mounting experience has encouraged its use also as a primary surgery for selected cases. Implantation of Ahmed glaucoma valve can be challenging for the surgeon, especially in patients who already underwent previous multiple surgeries. Several tips have to be acquired by the surgeon, and a long learning curve is always needed. Although the valve mechanism embedded in the Ahmed glaucoma valve decreases the risk of postoperative hypotony-related complications, it does not avoid the need of a careful follow-up. Complications related to this type of surgery include early and late postoperative hypotony, excessive capsule fibrosis around the plate, erosion of the tube or plate edge, and very rarely infection. The aim of this review is to describe surgical technique for Ahmed glaucoma valve implantation and to report related complications. Keywords: glaucoma, surgical technique, glaucoma drainage devices, Ahmed glaucoma valve, complicationsRiva IRoberti GOddone FKonstas AGPQuaranta LDove Medical PressarticleGlaucomasurgical techniqueglaucoma drainage devicesAhmed glaucoma valvecomplicationsOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 357-367 (2017)
institution DOAJ
collection DOAJ
language EN
topic Glaucoma
surgical technique
glaucoma drainage devices
Ahmed glaucoma valve
complications
Ophthalmology
RE1-994
spellingShingle Glaucoma
surgical technique
glaucoma drainage devices
Ahmed glaucoma valve
complications
Ophthalmology
RE1-994
Riva I
Roberti G
Oddone F
Konstas AGP
Quaranta L
Ahmed glaucoma valve implant: surgical technique and complications
description Ivano Riva,1 Gloria Roberti,1 Francesco Oddone,1 Anastasios GP Konstas,2 Luciano Quaranta3 1IRCCS “Fondazione GB Bietti per l’Oftalmologia”, Rome, Italy; 21st University Department of Ophthalmology, Glaucoma Unit, AHEPA Hospital, Thessaloniki, Greece; 3Department of Medical and Surgical Specialties, Section of Ophthalmology, University of Brescia, Brescia, Italy Abstract: Implantation of Ahmed glaucoma valve is an effective surgical technique to reduce intraocular pressure in patients affected with glaucoma. While in the past, the use of this device was reserved to glaucoma refractory to multiple filtration surgical procedures, up-to-date mounting experience has encouraged its use also as a primary surgery for selected cases. Implantation of Ahmed glaucoma valve can be challenging for the surgeon, especially in patients who already underwent previous multiple surgeries. Several tips have to be acquired by the surgeon, and a long learning curve is always needed. Although the valve mechanism embedded in the Ahmed glaucoma valve decreases the risk of postoperative hypotony-related complications, it does not avoid the need of a careful follow-up. Complications related to this type of surgery include early and late postoperative hypotony, excessive capsule fibrosis around the plate, erosion of the tube or plate edge, and very rarely infection. The aim of this review is to describe surgical technique for Ahmed glaucoma valve implantation and to report related complications. Keywords: glaucoma, surgical technique, glaucoma drainage devices, Ahmed glaucoma valve, complications
format article
author Riva I
Roberti G
Oddone F
Konstas AGP
Quaranta L
author_facet Riva I
Roberti G
Oddone F
Konstas AGP
Quaranta L
author_sort Riva I
title Ahmed glaucoma valve implant: surgical technique and complications
title_short Ahmed glaucoma valve implant: surgical technique and complications
title_full Ahmed glaucoma valve implant: surgical technique and complications
title_fullStr Ahmed glaucoma valve implant: surgical technique and complications
title_full_unstemmed Ahmed glaucoma valve implant: surgical technique and complications
title_sort ahmed glaucoma valve implant: surgical technique and complications
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/0417b7b4e6c241f196d45cbf1a8a3ab6
work_keys_str_mv AT rivai ahmedglaucomavalveimplantsurgicaltechniqueandcomplications
AT robertig ahmedglaucomavalveimplantsurgicaltechniqueandcomplications
AT oddonef ahmedglaucomavalveimplantsurgicaltechniqueandcomplications
AT konstasagp ahmedglaucomavalveimplantsurgicaltechniqueandcomplications
AT quarantal ahmedglaucomavalveimplantsurgicaltechniqueandcomplications
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