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.
| Authors | Ko et al. [16] | Smith et al. [17] | Nilforushan et al. [18] | Fatehi et al. [19] | Jiménez-Román et al. [20] | Our study |
| Number of eyes | 23 | 19 | 36 | 110 | 58 | 21 | Mean age (years) | 44.5 | 58.0 | 32.7 | 63.8 | 46.1 | 48.8 | Gender, male (%) | 56.6 | 47.4 | 44.4 | 49.0 | 38.0 | 90.0 | Mean follow-up (months) | 37.8 | 38.8 | 21.4 | 59.6 | 18.4 | 49.2 | First GDD type | 17 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) | 39.3 | 18.8 | 26.9 | 25.7 | 27.6 | 23.4 | 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 rates‡ | 87.0% (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) | Success† | 15 (65.2%) | 16 (84.2%) | 27 (75.0%) | — | — | 12 (57.1%) | Failure† | 8 (34.8%) | 3 (15.8%) | 9 (25.0%) | — | — | 9 (42.9%) |
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†Calculated at the last follow-up, ‡criterion for success: IOP ≥5 mmHg and ≤21 mmHg, with ≥20% reduction in IOP.
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