Key result
Case series details hypotony and decreased vision management in 3 patients after failed Ahmed valve surgery.
Why the study?
Valved glaucoma drainage devices like Ahmed Glaucoma Valve are prone to bleb encapsulation causing uncontrolled intraocular pressure and valve failure, with uncertain management of subsequent hypotony after TSCPC.
Case Report (n=3)
Describes the management of hypotony induced by transscleral diode cyclophotocoagulation in patients with failed Ahmed glaucoma valve surgery.
Case reports of hypotony management after cyclophotocoagulation; leaves open safety and efficacy in larger, controlled glaucoma cohorts.
Valved Glaucoma Drainage Devices like Ahmed Glaucoma Valve (AGV) are prone to bleb encapsulation around the endplate with subsequent uncontrolled intraocular pressure. Aqueous suppression may or may not lead to resolution and the valve may eventually fail. We report the management in a series of 3 eyes of 3 patients who had failed AGV surgery and after receiving transscleral diode cyclophotocoagulation (TSCPC) treatment, presented with hypotony and decreased vision.
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Pathak-Ray et al. (2021) conducted a case report in Failed Ahmed Glaucoma Valve surgery with hypotony after transscleral diode cyclophotocoagulation (n=3). Management of hypotony was evaluated. Management of hypotony and decreased vision was reported in 3 patients who had failed Ahmed Glaucoma Valve surgery and received transscleral diode cyclophotocoagulation.
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