ArticleJournal of current ophthalmology
Surgical Management of Glaucoma after Keratoplasty: Comparison of Trabeculectomy and Ahmed Glaucoma Valve Implantation Outcomes.
Article in Journal of current ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: To evaluate the visual results, intraocular pressure (IOP), use of antiglaucomatous medications, corneal graft survival rates, and complications after trabeculectomy and Ahmed glaucoma valve (AGV) implantation in patients with a history of keratoplasty (KP). Methods: A comprehensive analysis was conducted on all patient records from the Akdeniz University Medical Faculty Ophthalmology Department who had glaucoma surgery after KP between 2014 and 2022. This corresponds to a total of 49 eyes of 49 patients. Results: The mean visual acuity after AGV implantation was 1.9 ± 1.13 logMAR; in the trabeculectomy group, it was 1.2 ± 0.82 logMAR ( Conclusions: Both AGV and trabeculectomy resulted in comparable postoperative IOP levels. However, the trabeculectomy group demonstrated better visual acuity and higher corneal graft survival rates. Given these findings, trabeculectomy could be a favorable choice for glaucoma patients following KP, even considering the potential risk of postoperative hypotony. Ultimately, the treatment decision should be individualized based on each patient's specific circumstances and needs.
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