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J Curr Ophthalmol. 2018 Dec 28;31(1):24-30. doi: 10.1016/j.joco.2018.10.005. eCollection 2019 Mar.

Surgical management of glaucoma in Fuchs uveitis syndrome: Trabeculectomy or Ahmed glaucoma valve.

Journal of current ophthalmology

Naveed Nilforushan, Maryam Yadgari, Sayyed Amirpooya Alemzadeh

Affiliations

  1. Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
  2. Eye Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  3. Student Research Committee, Iran University of Medical Sciences, Tehran, Iran.

PMID: 30899842 PMCID: PMC6407154 DOI: 10.1016/j.joco.2018.10.005

Abstract

PURPOSE: To evaluate the outcome of trabeculectomy versus Ahmed glaucoma valve (AGV) surgery in patients with Fuchs uveitis Syndrome (FUS).

METHODS: Twenty-eight eyes with uncontrolled glaucoma and at least 6 months of follow-up were enrolled. In 16 eyes trabeculectomy and in 12 eyes AGV implant were performed. The primary outcome measure was surgical success defined as 5 < intraocular pressure (IOP) ≤ 21 mmHg (criterion A) and 5 < IOP ≤ 16 mmHg (criterion B), with at least 20% reduction in IOP, either with no medication (complete success) or with no more than preoperative medications (qualified success). The sum of complete and qualified success was defined as cumulative success.

RESULTS: The mean age of the patients in the trabeculectomy group and the AGV group was 44.92 ± 9.02 and 45.76 ± 7.10 years, respectively (

CONCLUSION: The success rate of trabeculectomy was higher than AGV in the surgical management of glaucoma in FUS during a medium-term follow-up.

Keywords: Ahmed glaucoma valve; Fuchs uveitis syndrome; Glaucoma; Trabeculectomy

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