Patient: A 9-year-old Hispanic female. Cause for referral 3/2000: management of uncontrolled glaucoma Chief complain: pain, redness (OU), decreased visual acuity OD>OS and severe headaches Past ocular history: a five-year history of bilateral panuveitis. She was treated with topical steroids only, without improvement of the ocular inflammation. Two years earlier, she underwent trabeculectomy wi...

CASE REPORT We report the case of a 29-year-old man who underwent Ahmed valve implantation in both eyes as treatment for uveitic glaucoma, subsequently presenting with bilateral ocular decompression retinopathy in the postoperative period. DISCUSSION Ocular decompression retinopathy is a rare complication of filtering surgery in patients with glaucoma; however, the course is benign in most ca...

We report the MR imaging findings of an unusually large fluid collection, so-called giant reservoir, around an Ahmed glaucoma valve implant that caused progressive proptosis in a patient with posttraumatic glaucoma. Although other cystic lesions of the juxtalacrimal area of the orbit, such as dermoid cyst, can present similar imaging findings, the characteristic morphology and location should l...

OBJECTIVE To report the 1-year treatment outcomes of the Ahmed Versus Baerveldt (AVB) Study. DESIGN Multicenter randomized clinical trial. PARTICIPANTS A total of 238 patients were enrolled in the study, including 124 in the Ahmed group and 114 in the Baerveldt group. METHODS Patients aged 18 years or older with uncontrolled glaucoma refractory to medicinal, laser, and surgical therapy we...

Silicone oil use as an adjunct to complicated vitreoretinal surgery is becoming more frequent. Refractory glaucoma in these patients is common. Isolated reports have mentioned the possibility of silicone oil migrating and/or obstructing the tube in the anterior chamber of Molteno implants (IOP, Costa Mesa, Calif). This report describes a case of intraocular silicone oil egressing through an Ahm...

OBJECTIVE To compare 2 commonly used aqueous drainage devices for the treatment of refractory glaucoma. DESIGN International, multicenter, randomized trial. PARTICIPANTS Patients aged 18 years or older with uncontrolled or high-risk glaucoma refractory to maximum medical therapy, many of whom had failed trabeculoplasty and trabeculectomy. METHODS Eligible patients were randomized to an Ah...

AIM To investigate the rate, risk factors, clinical course, and treatment outcomes of endophthalmitis following glaucoma drainage implant (GDI) surgery. METHODS A computerised relational database search was conducted to identify all patients who were implanted with Ahmed glaucoma valve (AGV) and developed endophthalmitis following surgery at the King Khaled Eye Specialist Hospital in Riyadh, ...

PURPOSE To evaluate the efficacy and safety of Ahmed Glaucoma Valve (AGV) implantation with adjunctive use of preserved amniotic membrane for surgical management of refractory glaucoma. METHODS Seven patients (5 female subjects) with refractory glaucoma were included in the study. An AGV (model FP7) was implanted in the usual manner and was covered with two layers of cryopreserved human amnio...

PURPOSE To evaluate the results of Ahmed glaucoma valve surgery in neovascular glaucoma and control patients. METHODS In this retrospective comparative study, we reviewed 76 eyes of 76 patients, comparing the surgical outcomes in control patients (N=38) to matched neovascular glaucoma patients (N=38). Success was defined as intraocular pressure (IOP) > or =6 mm Hg and < or =21 mm Hg, without ...