purpose : to evaluate the efficacy and safety of pars plana ahmed valve implant combined with pars plana vitrectomy and endolaser photocoagulation for the treatment of neovascular glaucoma in patients with vitreous hemorrhage. methods : retrospectively, we evaluated the records of 18 eyes of 17 consecutive neovascular glaucoma patients who had undergone pars plana vitrectomy and pars plana ahme...

A glaucoma drainage implant was detected on plain skull radiographs before MR imaging examination of the brain. The patient was denied the MR imaging for fear of dislodging the "metallic foreign body." The Baerveldt glaucoma drainage implant was mistakenly identified as an orbital metallic object based on its radiographic characteristics. Because none of the current glaucoma drainage implants c...

PURPOSE OF REVIEW The purpose of this review is to critically compare the various glaucoma drainage implants in popular use. RECENT FINDINGS Glaucoma drainage implants are being increasingly utilized in the surgical management of glaucoma. Comparisons between the various drainage implants are difficult because most clinical data are derived from retrospective studies with different study popu...

OBJECTIVE To describe surgical strategies in a series of patients with diplopia following implantation of a glaucoma drainage device. METHODS Retrospective review of 9 consecutive patients who underwent strabismus surgery because of strabismus and diplopia after implantation of a glaucoma drainage device. RESULTS Seven patients with marked limitation to ocular rotations and incomitant strab...

Endophthalmitis post glaucoma drainage implant (GDI) surgery is rare, often associated with tube or plate exposure. We report a case of endophthalmitis following glaucoma shunt intraluminal stent exposure in a patient who underwent Baerveldt glaucoma implant surgery. Endophthalmitis following manipulation of intraluminal stents is a rare complication of GDIs but potentially vision threatening c...

AIM To compare the intermediate-term efficacy of a large surface area Baerveldt 350 mm2 glaucoma drainage device (GDD) with medium surface area implants (Baerveldt 250 mm2 and Molteno 3, 230, or 245 mm2). DESIGN This is a retrospective, nonrandomized comparative trial. MATERIALS AND METHODS A total of 94 eyes of 94 patients of mixed glaucoma diagnoses without any prior glaucoma surgical pro...

Here we report a case of childhood glaucoma refractory to angle and trabeculectomy surgery. The patient was treated with an Ahmed™ drainage implant that was subsequently complicated by rapid-onset panophthalmitis and orbital cellulitis. Intravenous and intravitreal antibiotic therapy was initiated and the drainage tube was removed. The infectious process resolved within 3 weeks; however, phthis...

Surgical treatment for neovascular glaucoma has evolved from cyclodestructive procedures to full-thickness filtration surgery, to trabeculectomy with antifibrosis drugs and glaucoma drainage implant surgery. The choice of a surgical approach may be influenced by several factors, including the stage of the disease. Many surgeons favor drainage implants when the disease is more advanced or when s...

1. Abraham N, Yoseff G, Michael B, Yoram E. Biocompatibility of the Ex-PRESS® miniature glaucoma drainage implant. J Glaucoma. 2003;12:275–80. 2. Gallego-Pinazo R, López-Sánchez E, Marín-Montiel J. Resultados postquirúrgicos en la cirugía combinada de glaucoma. Comparación del implante Ex-PRESS® con la trabeculectomía. Arch Soc Esp Oftalmol. 2009;84: 293–8. 3. Francis BA, Singh K, Lin SC, Hodap...