Khawaja Mohsin Ihsan, Amtul Mussawar Sami, Abdul Baqi, Saba Tauqeer, Farhana Mukhtar.
Audit of Ahmad Glaucoma Valve Implantation in Childhood Refractory Glaucoma; a Prospective Study.
Esculapio J Services Inst Med Sci Jan ;15(1):70-2.

Objective: To evaluate the long terms result of Ahmed glaucoma valve after implantation in pediatric refractory glaucoma. Method: This prospective study was conducted in Eye unit 1, Services Hospital / Services Institute of Medical Sciences, Lahore from Dec 2007 to Dec 2018. Total number of patients were 12, out of these AGV was implanted unilaterally in 7 patients and bilaterally in 5 patients. Qualified success was defined as IOP less than 21 mm of Hg with anti glaucoma medication regardless of their number. Complete success was defined as IOP less than 21 mm of Hg without any anti glaucoma medications. Results: This long term study shows that only one patient has controlled IOP without medications. Conclusion: Despite of the small number of cases in this study Ahmad Glaucoma Valve seems to be effective in primary congenital glaucoma. Success rate declines over time, considering the need for further alternative medication and surgical procedure.

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