지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 400 - 408 (9page)
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초록· 키워드
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Purpose: To evaluate the outcome of Ahmed glaucoma valve (AGV) implantation in eyes with refractory secondary glaucoma following pars plana vitrectomy (PPV) and the associated prognostic factors. Methods: A total of 146 eyes in 146 patients who underwent AGV implantation after PPV (followed up for ≥1 year) were included. AGV implantation was considered successful when the intraocular pressure (IOP) was 6 to 21 mmHg regardless of using IOP-lowering medication. The hazard ratios (HRs) associated with surgical failure were determined with Cox proportional analysis. Results: The most common cause for PPV was complications of proliferative diabetic retinopathy (50%). The mean and peak IOPs between PPV and AGV implantation were 26.9 ± 6.6 and 35.9 ± 10.2 mmHg, respectively. AGV implantation was performed on average 18.7 months after PPV, and its overall success rate was 80.1% during a mean follow-up period of 43.6 months. In multivariate analyses, rubeosis observed before AGV implantation (HR, 4.07; 95% confidence interval, 1.57 to 10.6; p = 0.004) and higher peak IOP before AGV (HR, 1.04; 95% confidence interval, 1.00 to 1.07; p = 0.034) were predictive of failure. However, no PPV-related factors were associated with the surgical outcome of AGV implantation. Conclusions: The outcome of AGV implantation is good in refractory glaucoma following PPV. Rubeosis after PPV and higher peak IOP before AGV are risk factors for poor outcomes. Patients who undergo PPV should be followed for the development of rubeosis and IOP control.
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참고문헌 (21)
참고문헌 신청
Coleman AL / 1995 / Initial clinical experience with the Ahmed glaucoma valve implant / Am J Ophthalmol 120:23~31
Souza C / 2007 / Long-term outcomes of Ahmed glaucoma valve implantation in refractory glaucomas / Am J Ophthalmol 144:893~900
Christakis PG / 2013 / The Ahmed versus Baerveldt study: three-year treatment outcomes / Ophthalmology 120:2232~2240
이진영 / 2012 / Clinical Outcomes after Combined Ahmed Glaucoma Valve Implantation and Penetrating Keratoplasty or Pars Plana Vitrectomy / Korean Journal of Ophthalmology 26(6):432~437
Nguyen QH / 1992 / Incidence and management of glaucoma after intravitreal silicone oil injection for complicated retinal detachments / Ophthalmology 99:1520~1526
Souza C / 2007 / Long-term outcomes of Ahmed glaucoma valve implantation in refractory glaucomas / Am J Ophthalmol 144:893~900
Christakis PG / 2013 / The Ahmed versus Baerveldt study: three-year treatment outcomes / Ophthalmology 120:2232~2240
이진영 / 2012 / Clinical Outcomes after Combined Ahmed Glaucoma Valve Implantation and Penetrating Keratoplasty or Pars Plana Vitrectomy / Korean Journal of Ophthalmology 26(6):432~437
Nguyen QH / 1992 / Incidence and management of glaucoma after intravitreal silicone oil injection for complicated retinal detachments / Ophthalmology 99:1520~1526
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