Clinical Ophthalmology (Jun 2023)
Ahmed Glaucoma Valve Implantation to Reduce Intraocular Pressure: Updated Perspectives
Abstract
Gul Arikan, Uzeyir Gunenc Dokuz Eylul University School of Medicine, Department of Ophthalmology, Izmir, TurkeyCorrespondence: Gul Arikan, Dokuz Eylül University, School of Medicine, Department of Ophthalmology, Izmir, 35340, Turkey, Tel +90 531 7919687, Email [email protected]: 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.Keywords: Ahmed glaucoma valve, glaucoma, glaucoma drainage device, tube shunt surgery
