Reimplantation of a drainage valve device in refractory glaucoma. A clinical case
- Authors: Starostina A.V.1, Khabazova M.R.2, Burlakov K.S.1, Arisov A.A.1
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Affiliations:
- The S. Fyodorov Eye Microsurgery Federal State Institution
- Moscow State University of Medicine and Dentistry named after A.I. Evdokimov
- Issue: Vol 13, No 2 (2022)
- Pages: 114-120
- Section: Case reports
- URL: https://journals.rcsi.science/clinpractice/article/view/107179
- DOI: https://doi.org/10.17816/clinpract107179
- ID: 107179
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Abstract
Background: Implantation of various drainage devices is one of the treatments for refractory glaucoma, resistant to traditional surgical methods. The most commonly used glaucoma drainage device for refractory glaucoma is the Ahmed glaucoma valve. However, the long-term success rate of the surgery may be limited because of the development of complications during the late postoperative period. The complications do not allow the control of the achieved intraocular pressure (IOP) level. In such cases, a repeated implantation of the Ahmed valve may be one of the options for the surgical treatment. Clinical case description: Second Ahmed valves were implanted to two patients with refractory repeatedly operated glaucoma at the Department of surgical glaucoma treatment of the S. Fyodorov Eye Microsurgery Federal State Institution in Moscow. Previously, both patients had the Ahmed valves installed at their places of residence. During the postoperative period, one patient was found to have an encapsulated cyst around the drainage body, and later the revision of the operation area was performed. As a result of the repeated Ahmed valve implantation, the IOP compensation was achieved 9 months after the surgery. Conclusion: A repeated implantation of the Ahmed valve may be an option for the surgical treatment, if the first implant failed to control the IOP, in order to compensate the IOP and preserve the visual functions in patients with refractory repeatedly operated glaucoma.
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##article.viewOnOriginalSite##About the authors
Anna V. Starostina
The S. Fyodorov Eye Microsurgery Federal State Institution
Email: anna.mntk@mail.ru
ORCID iD: 0000-0002-4496-0703
SPIN-code: 7106-2347
MD, PhD
Russian Federation, MoscowMargarita R. Khabazova
Moscow State University of Medicine and Dentistry named after A.I. Evdokimov
Author for correspondence.
Email: rita.khabazova@mail.ru
ORCID iD: 0000-0002-7770-575X
MD
Russian Federation, MoscowKonstantin S. Burlakov
The S. Fyodorov Eye Microsurgery Federal State Institution
Email: konstantin.burlakow@yandex.ru
MD
Russian Federation, MoscowAlexey A. Arisov
The S. Fyodorov Eye Microsurgery Federal State Institution
Email: docarisov@gmail.com
ORCID iD: 0000-0002-3172-3880
MD
Russian Federation, MoscowReferences
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