Evidence map›Paper›PMID 39199778›Full record

ArticleBioengineering (Basel, Switzerland)2024

Initial Clinical Experience with Ahmed Valve in Romania: Five-Year Patient Follow-Up and Outcomes.

Ramona Ileana Barac, Vasile Harghel, Nicoleta Anton, George Baltă, Ioana Teodora Tofolean, Christiana Dragosloveanu, Laurențiu Flavius Leuștean, Dan George Deleanu, Diana Andreea Barac

Abstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Meeting Challenges in the Diagnosis and Treatment of Glaucoma.Bioengineering (Basel, Switzerland) · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ramona Ileana BaracDepartment of Ophthalmology, "Carol Davila" University of Medicine and Pharmacy, 050474 București, Romania.
Vasile HarghelDepartment of Ophthalmology, "Carol Davila" University of Medicine and Pharmacy, 050474 București, Romania.
Nicoleta AntonDepartment of Ophthalmology, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iași, Romania.ORCID 0000-0002-4987-5049
George BaltăDepartment of Ophthalmology, "Carol Davila" University of Medicine and Pharmacy, 050474 București, Romania.ORCID 0009-0000-8261-1101
Ioana Teodora TofoleanDepartment of Ophthalmology, "Carol Davila" University of Medicine and Pharmacy, 050474 București, Romania.
Christiana DragosloveanuDepartment of Ophthalmology, "Carol Davila" University of Medicine and Pharmacy, 050474 București, Romania.
Laurențiu Flavius LeușteanDepartment of Ophthalmology, "Carol Davila" University of Medicine and Pharmacy, 050474 București, Romania.
Dan George DeleanuDepartment of Ophthalmology, "Carol Davila" University of Medicine and Pharmacy, 050474 București, Romania.
Diana Andreea BaracDepartment of Ophthalmology, "Carol Davila" University of Medicine and Pharmacy, 050474 București, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlaucoma is a leading cause of irreversible blindness worldwide and is particularly challenging to treat in its refractory forms. The Ahmed valve offers a potential solution for these difficult cases. This research aims to assess the initial clinical experience with Ahmed valve implantation in Romania, evaluating its effectiveness, associated complications, and overall patient outcomes over a five-year period.

methodsWe conducted a prospective study on 50 patients who underwent Ahmed valve implantation due to various types of glaucoma. Patients were monitored at several intervals, up to five years post-surgery. Intraocular pressure and visual acuity were the primary measures of success.

resultsOn average, patients maintained the intraocular pressure within the targeted range, with the mean intraocular pressure being 17 mmHg 5 years post-surgery. Success, defined as maintaining target intraocular pressure without additional surgery, was achieved in 82% at 1 year, 68% at 3 years, and 60% after 5 years postoperative.

conclusionAhmed valve implantation is a viable treatment option for refractory glaucoma, demonstrating significant intraocular pressure reduction and manageable complication rates over a five-year follow-up period. Future research should focus on long-term outcomes and optimization of surgical techniques to further reduce complication rates and improve patient quality of life.

Indexed as

Ahmed glaucoma valve implantglaucoma

Identifiers

PMID39199778
PMCPMC11351579

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