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  • Title: [Ahmed's drainage in surgery of refractory posttraumatic glaucoma].
    Author: Stepanov AV.
    Journal: Vestn Oftalmol; 2008; 124(5):28-31. PubMed ID: 19062555.
    Abstract:
    The paper presents the results of Ahmed's drainage implanted in 19 patients with different forms of posttraumatic glaucoma: 14 and 5 eyes with contusion and wound glaucoma, respectively. According to its pathogenesis, glaucoma was recessive (8 eyes), uveal (7 eyes), phakotopic (2 eyes), keratoplasty-associated (1 eye), and congenital (1 eye). Neovascular uveal glaucoma was present in 3 cases. Three eyes with uveal glaucoma showed aniridia and aphakia. On admission, the patients had an average of 2.9 +/- 1.6 operations per patient. There was an average of 5.0 +/- 1.3 instillations of antihypertensive drugs at an intraocular pressure (IOP) of 32.6 +/- 5.2 mm Hg (C = 0.07 +/- 0.038). The technique of surgery and its results are described. Complications and methods of their correction are presented. As a result, IOP normalization was achieved in all patients: on last visit it was 13.7 +/- 4.8 mm Hg. The follow-up was 6-16 months; on the day of last visit, the number of antihypertensive agents averaged 1.4 +/- 0.73.
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