Research Article

Surgical Outcomes of a Second Ahmed Glaucoma Valve Implantation in Asian Eyes with Refractory Glaucoma

Table 3

Comparison of studies evaluating success rates and surgical outcomes of second Ahmed glaucoma valve surgeries.

AuthorsKo et al. [16]Smith et al. [17]Nilforushan et al. [18]Fatehi et al. [19]Jiménez-Román et al. [20]Our study

Number of eyes2319361105821
Mean age (years)44.558.032.763.846.148.8
Gender, male (%)56.647.444.449.038.090.0
Mean follow-up (months)37.838.821.459.618.449.2
First GDD type17 FP7 (73.9%)
6 FP8 (26.1%)
19 FP7/S2 (unknown proportion)6 S3 (10.3%)
50 S2
(86.2%)
2 FP7
(3.5%)
16 FP7 (76.2%)
3 S2 (14.4%)
1 Baerveldt (4.8%)
1 unknown (4.8%)
Second GDD type (%)2 FP7 (8.7%)
21 FP8 (91.3%)
19 FP7/S2 (unknown proportion)36 FP7 (100%)55 FP7 (50%)
55 S2 (50%)
50 S2 (86.2%)
2 FP7
(3.5%)
21 FP7 (100%)
Mean preoperative IOP (mmHg)39.318.826.925.727.623.4
Mean IOP reduction (mmHg)20.8 (52.9%)7.9 (42.0%)13.6 (50.6%)11.3 (44.1%)12.7 (45.0%)5.6 (23.9%)
Success rates87.0% (1 year)
70.0% (2 years)
52.0% (3 years)
94.0% (6 months)
85.0% (1 year)
80.0% (18 months)
53.0% (42 months)
70% (1 year)
63% (3 years)
57% (5 years)
62.9% (12 months)
56.6% (30 months)
80.0% (1 year)
67.5% (2
years)
54.0% (3
years)
Success15 (65.2%)16 (84.2%)27 (75.0%)12 (57.1%)
Failure8 (34.8%)3 (15.8%)9 (25.0%)9 (42.9%)

Calculated at the last follow-up, criterion for success: IOP ≥5 mmHg and ≤21 mmHg, with ≥20% reduction in IOP.