Journal of Current Glaucoma Practice

Register      Login

VOLUME 11 , ISSUE 1 ( January-April, 2017 ) > List of Articles

Original Article

Surgical Outcomes of Ahmed or Baerveldt Tube Shunt Implantation for medically Uncontrolled Traumatic Glaucoma

Arkadiy Yadgarov, Dan Liu, Elliot S Crane

Keywords : Cohort study, Glaucoma, Glaucoma drainage device, Intraocular pressure, Trauma, Tube

Citation Information : Yadgarov A, Liu D, Crane ES. Surgical Outcomes of Ahmed or Baerveldt Tube Shunt Implantation for medically Uncontrolled Traumatic Glaucoma. J Curr Glaucoma Pract 2017; 11 (1):16-21.

DOI: 10.5005/jp-journals-10008-1215

License: CC BY-NC 4.0

Published Online: 01-08-2019

Copyright Statement:  Copyright © 2017; The Author(s).


Aim: To describe postoperative surgical success of either Ahmed or Baerveldt tube shunt implantation for eyes with medically uncontrolled traumatic glaucoma. Materials and methods: A review was carried out to identify patients with traumatic glaucoma that required tube shunt implantation between 2009 and 2015 at Rutgers University in Newark, New Jersey, USA. Seventeen eyes from 17 patients met inclusion criteria, including at least 3-month postoperative follow-up. The main outcome measure was surgical success at 1-year follow-up after tube implantation. Results: Mean preoperative intraocular pressure (IOP) was 34.1 ± 8.2 mm Hg on 3.1 ± 1.6 ocular hypotensive medications. Nine eyes (53%) sustained closed globe injury. Ten eyes (59%) received an Ahmed valve shunt and seven eyes (41%) received a Baerveldt tube shunt. Surgical success rate at 1 year postoperatively was 83%. Compared to preoperative, the mean postoperative IOP was significantly lower (16.1 ± 3.5 mm Hg, p < 0.001) on significantly fewer ocular hypertensive medications (1.3 ± 1.6, p = 0.001) at a mean follow-up of 10 months. Mean IOP reduction at last follow-up was 49%. There were three cases of surgical failures: One case of hypotony, one case of tube extrusion with subsequent explantation, and one case requiring second tube insertion for IOP control. Conclusion: Implantation of an Ahmed or Baerveldt tube shunt provided successful control of IOP in patients with medically uncontrollable traumatic glaucoma. How to cite this article: Yadgarov A, Liu D, Crane ES, Khouri AS. Surgical Outcomes of Ahmed or Baerveldt Tube Shunt Implantation for medically Uncontrolled Traumatic Glaucoma. J Curr Glaucoma Pract 2017;11(1):16-21.

PDF Share
  1. De Leon-Ortega JE, Girkin CA. Ocular trauma-related glaucoma. Ophthalmol Clin North Am 2002 Jun;15(2):215-223.
  2. Girkin CA, McGwin G Jr, Long C, Morris R, Kuhn F. Glaucoma after ocular contusion: a cohort study of the United States Eye Injury Registry. J Glaucoma 2005 Dec;14(6):470-473.
  3. Girkin CA, McGwin G Jr, Morris R, Kuhn F. Glaucoma following penetrating ocular trauma: a cohort study of the United States Eye Injury Registry. Am J Ophthalmol 2005 Jan;139(1):100-105.
  4. Osman EA, Al-Fawaz N, Al-Otaibi AG, Al-Mansouri SM, Mousa A, Al-Mezaine HS. Glaucoma after open globe injury at a tertiary care university hospital in Central Saudi Arabia. Cumulative incidence and risk factors. Saudi Med J 2013 Apr;34(4):374-378.
  5. Turalba AV, Shah AS, Andreoli MT, Andreoli CM, Rhee DJ. Predictors and outcomes of ocular hypertension after openglobe injury. J Glaucoma 2014 Jan;23(1):5-10.
  6. Ozer PA, Yalvac IS, Satana B, Eksioglu U, Duman S. Incidence and risk factors in secondary glaucomas after blunt and penetrating ocular trauma. J Glaucoma 2007 Dec;16(8):685-690.
  7. Bai HQ, Yao L, Wang DB, Jin R, Wang YX. Causes and treatments of traumatic secondary glaucoma. Eur J Ophthalmol 2009 Mar-Apr;19(2):201-206.
  8. Mermoud A, Salmon JF, Barron A, Straker C, Murray AD. Surgical management of post-traumatic angle recession glaucoma. Ophthalmology 1993 May;100(5):634-642.
  9. Mermoud A, Salmon JF, Straker C, Murray AD. Post-traumatic angle recession glaucoma: a risk factor for bleb failure after trabeculectomy. Br J Ophthalmol 1993 Oct;77(10):631-634.
  10. Takihara Y, Inatani M, Ogata-Iwao M, Kawai M, Inoue T, Iwao K, Tanihara H. Trabeculectomy for open-angle glaucoma in phakic eyes vs in pseudophakic eyes after phacoemulsification: a prospective clinical cohort study. JAMA Ophthalmol 2014 Jan;132(1):69-76.
  11. Landers J, Martin K, Sarkies N, Bourne R, Watson P. A twenty-year follow-up study of trabeculectomy: risk factors and outcomes. Ophthalmology 2012 Apr;119(4):694-702.
  12. Manners T, Salmon JF, Barron A, Willies C, Murray AD. Trabeculectomy with mitomycin C in the treatment of posttraumatic angle recession glaucoma. Br J Ophthalmol 2001 Feb;85(2):159-163.
  13. DeBry PW, Perkins TW, Heatley G, Kaufman P, Brumback LC. Incidence of late-onset bleb-related complications following trabeculectomy with mitomycin. Arch Ophthalmol 2002 Mar;120(3):297-300.
  14. Mermoud A, Salmon JF, Straker C, Murray AD. Use of the single-plate Molteno implant in refractory glaucoma. Ophthalmologica 1992;205(3):113-120.
  15. Fuller JR, Bevin TH, Molteno AC. Long-term follow-up of traumatic glaucoma treated with Molteno implants. Ophthalmology 2001 Oct;108(10):1796-1800.
  16. Pieramici DJ, Sternberg P Jr, Aaberg TM Sr, Bridges WZ Jr, Capone A Jr, Cardillo JA, de Juan E Jr, Kuhn F, Meredith TA, Mieler WF, et al. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. Am J Ophthalmol 1997 Jun;123(6):820-831.
  17. Osman EA, Mousa A, Al-Mansouri SM, Al-Mezaine HS. Glaucoma after open-globe injury at a Tertiary Care University Hospital: cumulative causes and management. J Glaucoma 2016 Mar;25(3):e170-e174.
  18. Mills RP, Reynolds A, Emond MJ, Barlow WE, Leen MM. Long-term survival of Molteno glaucoma drainage devices. Ophthalmology 1996 Feb;103(2):299-305.
  19. Budenz DL, Barton K, Feuer WJ, Schiffman J, Costa VP, Godfrey DG, Buys YM; Ahmed Baerveldt Comparison Study Group. Treatment outcomes in the Ahmed Baerveldt Comparison Study after 1 year of follow-up. Ophthalmology 2011 Mar;118(3):443-452.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.