Intraoperative management of nonfunctioning Ahmed glaucoma valve implant. 2006

Pete Setabutr, and Nicholas P F Bell, and Robert M Feldman
Department of Ophthalmology and Visual Science, The University of Texas Medical School at Houston, Houston, Texas 77030, USA.

A 62-year-old woman with neovascular glaucoma underwent filtering surgery with the Ahmed glaucoma valve (New World Medical, Inc., Rancho Cucamonga, CA). Intraoperative hypotony secondary to a defective valve was noted and managed by excising the valve mechanism. The implant was then treated as if it was non-valved by placement of an obturator suture. The postoperative course was unremarkable for a non-valved implant. This case demonstrates how intraoperative hypotony secondary to overfiltration of an Ahmed glaucoma valve implant can be successfully managed by converting to a non-valved implant.

UI MeSH Term Description Entries
D007429 Intraocular Pressure The pressure of the fluids in the eye. Ocular Tension,Intraocular Pressures,Ocular Tensions,Pressure, Intraocular,Pressures, Intraocular,Tension, Ocular,Tensions, Ocular
D007432 Intraoperative Period The period during a surgical operation. Intraoperative Periods,Period, Intraoperative,Periods, Intraoperative
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011475 Prosthesis Failure Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking. Prosthesis Loosening,Prosthesis Durability,Prosthesis Migration,Prosthesis Survival,Durabilities, Prosthesis,Durability, Prosthesis,Failure, Prosthesis,Failures, Prosthesis,Loosening, Prosthesis,Loosenings, Prosthesis,Migration, Prosthesis,Migrations, Prosthesis,Prosthesis Durabilities,Prosthesis Failures,Prosthesis Loosenings,Prosthesis Migrations,Prosthesis Survivals,Survival, Prosthesis,Survivals, Prosthesis
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015355 Glaucoma, Neovascular A form of secondary glaucoma which develops as a consequence of another ocular disease and is attributed to the forming of new vessels in the angle of the anterior chamber. Glaucomas, Neovascular,Neovascular Glaucoma,Neovascular Glaucomas
D015814 Ocular Hypotension Abnormally low intraocular pressure often related to chronic inflammation (uveitis). Ocular Hypotony,Hypotension, Ocular,Hypotony, Ocular
D020327 Glaucoma Drainage Implants Devices, usually incorporating unidirectional valves, which are surgically inserted in the sclera to maintain normal intraocular pressure. Aqueous Humor Shunt,Aqueous Shunt,Aqueous Shunts,Baerveldt Implant,Baerveldt Implants,Glaucoma Drainage Implant,Glaucoma Filtration Implant,Glaucoma Filtration Implants,Krupin Valve,Krupin Valves,Aqueous Humor Shunts,Drainage Implant, Glaucoma,Drainage Implants, Glaucoma,Filtration Implant, Glaucoma,Filtration Implants, Glaucoma,Implant, Baerveldt,Implant, Glaucoma Drainage,Implant, Glaucoma Filtration,Implants, Baerveldt,Implants, Glaucoma Drainage,Implants, Glaucoma Filtration,Shunt, Aqueous,Shunt, Aqueous Humor,Shunts, Aqueous,Shunts, Aqueous Humor,Valve, Krupin,Valves, Krupin

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