Table of Contents
ISRN Ophthalmology
Volume 2011 (2011), Article ID 680827, 6 pages
http://dx.doi.org/10.5402/2011/680827
Clinical Study

Results of Combined Cyclectomy/Trabeculectomy Procedure Compared with Ahmed Glaucoma Valve Implant in Neovascular Glaucoma Cases

1Department of Ophthalmology, Bagcilar Education and Research Hospital, Bağcılar, 34203 Istanbul, Turkey
2Department of Ophthalmology, Medical Park Bahcelievler Hospital, Istanbul, Turkey
3Department of Ophthalmology, Esenyurt Uğur Hospital, Istanbul, Turkey
4Department of Pathology, Istanbul Medical Faculty, Istanbul University, 34452 Istanbul, Turkey

Received 18 August 2011; Accepted 18 September 2011

Academic Editor: A. Berta

Copyright © 2011 Kaya N. Engin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. Cyclectomy/trabeculectomy and Ahmed glaucoma valve implant are operations suggested for refractory glaucomas. In this study, we have evaluated the outcomes that we observed with these two techniques in neovascular glaucoma patients. Material and Methods. Thirty-five eyes with neovascular glaucomas were included in this study. Ahmed Glaucoma valve (group A) was applied to ten eyes, while cyclectomy/trabeculectomy was applied to 25 eyes (group C/T). Vision, intraocular pressure and complications were evaluated at the end of the first week and after 6 and 12 months. Results. Vision preservations were 80% and 92%, and success rates in reducing intraocular pressure were 50% and 72% for Ahmed glaucoma valve and cyclectomy/trabeculectomy groups, respectively. None of the differences in complication rates was found to be statistically significant. Conclusions. In the surgical management of neovascular glaucoma, cyclectomy/trabeculectomy was shown to be an alternative to Ahmed glaucoma valve operation.