DR. ARPITA BASIA

Abstract

Purpose: To report outcome of Ahmed glaucoma valve surgery as Primary treatment

Method: Patients refractory to medical management underwent primary Ahmed glaucoma valve surgery. These patients were 5 in number and were on maximal medical therapy with mean IOP cut off >21mmHg. AGV implanted by a single surgeon

Result : Mean IOP after 3 months after hypertensive phase was 15+-2 mmHg and there was no further progression on visual fields. One of the patient was steroid responder and IOP off treatment was 25 mmHg but IOP is under control on one Antiglaucoma medication. One of the patient sclera graft melt with tube exposure developed for which regraft wth conjunctival autograft was done.

Conclusion: Ahmed Glaucoma valve surgery as primary treatment is very effective with good control of IOP and almost nil complications and progression