Skip to main content

Advertisement

Log in

Risk factors of implant exposure outside the conjunctiva after Ahmed glaucoma valve implantation

  • Clinical Investigation
  • Published:
Japanese Journal of Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To study possible risk factors in cases in which part of the device becomes exposed outside the conjunctiva after Ahmed glaucoma valve (AGV) implantation.

Methods

Eleven eyes in which one part of the AGV was exposed outside the conjunctivae were compared with 44 random eyes that underwent the same operation by the same surgeon during the same time period but without any complications. Preoperative diagnosis, age, sex, implant location, number of previous ocular surgeries, and both associated ocular diseases and systemic diseases were taken into account in both the patient group and the control group to determine all possible causes.

Results

Age, implant location, type of glaucoma, diabetes mellitus, and hypertension had no relation to implant exposure. However, the patient group had more ocular surgeries before AGV implantation than the control group (P = 0.006).

Conclusion

We found that only the number of previous ocular surgeries was a possible risk factor for implant exposure. More effort should be made to decrease implant exposure outside the conjunctiva, and research should be performed to determine the proper treatment for implant exposure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Rollett M, Moreau M. Traitement dele hypopyon par le drainage capillaire de chamber anterieure. Rev Gen Ophthalmol 1906;35:481.

    Google Scholar 

  2. El-Sayyad F, el-Maghraby A, Helal M, Amayem A. The use of releasable sutures in Molteno glaucoma procedures to reduce postoperative hypotony. Ophthalmic Surg 1991;35:82–84.

    Google Scholar 

  3. Kook MS, Jeon SK. Clinical results of Ahmed glaucoma implantation in refractory glaucoma. J Korean Ophthalmol Soc 1996;37:1893–1901.

    Google Scholar 

  4. Kim JM, Lee DH. Clinical experience with the Ahmed glaucoma valve. J Korean Ophthalmol Soc 1999;40:1332–1338.

    Google Scholar 

  5. Hu CH, Lee YG, Hong YJ. Ahmed glaucoma valve implant in refractory glaucoma. 1997;38:259–266.

    Google Scholar 

  6. Molteno ACB. New implant for drainage in glaucoma. Clinical trial. Br J Ophthalmol 1969;53:606–615.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Schocket SS, Lakhanpal V, Richards RD. Anterior chamber tube shunt to an encircling band in the treatment of neovascular glaucoma. Ophthalmology 1982;89:1188–1194.

    Article  CAS  PubMed  Google Scholar 

  8. Lloyd MA, Baerveldt G, Heuer DK, et al. Initial clinical experience with the Baerveldt implant in complicated glaucoma. Ophthalmology 1994;101:640–650.

    Article  CAS  PubMed  Google Scholar 

  9. Ahn BH, Kim CS, Kim YB. Use of e-PTFE membrane for glaucoma drainage surgery. J Korean Ophthalmol Soc 1990;31:603–614.

    Google Scholar 

  10. Coleman AL, Hill R, Wilson MR, et al. Initial clinical experience with the Ahmed glaucoma valve implant. Am J Ophthalmol 1995;120:23–31.

    Article  CAS  PubMed  Google Scholar 

  11. Krupin T, Podos SM, Becker B. Valve implants in filtering surgery. Am J Ophthalmol 1976;81:232–235.

    Article  CAS  PubMed  Google Scholar 

  12. Joseph NH, Sherwood MB, Trantas G, et al. A one-piece drainage system for glaucoma surgery. Trans Ophthalmol Soc UK 1986;105:657–664.

    PubMed  Google Scholar 

  13. White TC. Clinical results of glaucoma surgery using the White glaucoma pump shunt. Ann Ophthalmol 1992;24:365–373.

    CAS  PubMed  Google Scholar 

  14. Prata JA, Mermoud A, LaBree L, Minckler DS. In vitro and in vivo flow characteristics of glaucoma drainage implants. Ophthalmology 1995;102:894–904.

    Article  PubMed  Google Scholar 

  15. Ayyala RS, Zurakowski D, Smith JA, et al. A clinical study of the Ahmed glaucoma valve implant in advanced glaucoma. Ophthalmology 1998;105:1968–1976.

    Article  CAS  PubMed  Google Scholar 

  16. Heuer DK, Lloyd MA, Abrams DA, et al. Which is better? One or two? A randomized clinical trial of single-plate versus double-plate Molteno implantation for glaucomas in aphakia and pseudophakia. Ophthalmology 1992;99:1512–1519.

    Article  CAS  PubMed  Google Scholar 

  17. Heuer DK, Budenz D, Coleman A. Aqueous shunt tube erosion. J Glaucoma 2001;10:493–496.

    Article  CAS  PubMed  Google Scholar 

  18. Huang MC, Netland PA, Coleman AL, et al. Intermediate-term clinical experience with the Ahmed glaucoma valve implant. Am J Ophthalmol 1999;127:27–33.

    Article  CAS  PubMed  Google Scholar 

  19. Coleman AL, Mondino BJ, Wilson MR, et al. Clinical experience with the Ahmed glaucoma valve implant in eyes with prior or concurrent penetrating keratoplasties. Am J Ophthalmol 1997;123:54–61.

    Article  CAS  PubMed  Google Scholar 

  20. Heuer DK, Budenz D, Coleman A. Aqueous shunt tube erosion. J Glaucoma 2001;10:493–496.

    Article  CAS  PubMed  Google Scholar 

  21. Takahashi A, Okisaka S, Akeo K, Taketani P. Aging changes in conjunctiva visualized by fluorescein angiography and histopathology. Nippon Ganka Gakkai Zasshi 1996;100:296–301.

    CAS  PubMed  Google Scholar 

  22. Ainsworth G, Rotchford A, Dua HS, King AJ. A novel use of amniotic membrane in the management of tube exposure following glaucoma tube shunt surgery. Br J Ophthalmol 2006;90:417–419.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Siegner SW, Netland PA, Urban RC Jr, et al. Clinical experience with the Baerveldt glaucoma drainage implant. Ophthalmology 1995;102:1298–1307.

    Article  CAS  PubMed  Google Scholar 

  24. Rai P, Lauande-Pimentel R, Barton K. Amniotic membrane as an adjunct to donor sclera in the repair of exposed glaucoma drainage devices. Am J Ophthalmol 2005;140:1148–1152.

    Article  PubMed  Google Scholar 

  25. Chen H, Zhang SX, Liu L, et al. Intermediate-term and long-term clinical evaluation of the Ahmed glaucoma valve implantation. Zhonghua Yan Ke Za Zhi 2005;41:796–802.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Chan Kee Park.

About this article

Cite this article

Byun, Y.S., Lee, N.Y. & Park, C.K. Risk factors of implant exposure outside the conjunctiva after Ahmed glaucoma valve implantation. Jpn J Ophthalmol 53, 114–119 (2009). https://doi.org/10.1007/s10384-008-0630-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10384-008-0630-y

Key Words

Navigation