Ahmed Valve implantation in Severe Traumatized Eye - PowerPoint PPT Presentation

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Ahmed Valve implantation in Severe Traumatized Eye PowerPoint Presentation
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Ahmed Valve implantation in Severe Traumatized Eye

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Ahmed Valve implantation in Severe Traumatized Eye

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  1. Ahmed Valve implantation in Severe Traumatized Eye Shimon Kurtz M.D Roni Rachmiel M.D Adiel Barak M.D Ophthalmology Department Tel Aviv Sourasky medical center Israel

  2. Case presentation D.E. 5 YOM healthy 3/2006: RE corneal perforation & traumatic cataract D/T penetrating injury RE corneal suturing + cataract extraction + IOL

  3. 10/2006: On examination: VA RE – CF Anterior segment – quiet Corneal leukoma • 26/10/06 – RE PKP + removal of lens + Ant. Vit. At discharge: VA RE – HM, TA RE – 22 (max 35) Corneal graft clear, descemet folds  RE Iopidine x2, sterodex x6, okacin x4

  4. 2/2007: RE elevated IOP On examination: VA - HM, T - 36mmHg Buphthalmus, corneal graft edema Tx: Uramox, cosopt, okacin, sterodex At discharge: T – 15 Clear corneal graft Tx: uramox, cosopt, okacin

  5. 4/2007: RE elevated IOP On examination: VA - HM, T - 28mmHg (max – 42) corneal graft edema, small epithelial bullae Peripheral iris-cornea touch

  6.  26/4/07 – PPV + intravitreal ahmed valve implant At discharge: VA – HM, T – 18 corneal graft edema, A/C medium-shallow Tx: sterodex, Okacin, atropin

  7. American journal of ophthalmology 2001 Glaucoma drainage tube kink after pars plana insertion. Rothman RF, Sidoti PA, Gentile RC, Liebmann JM, Ishikawa H, Rosen RB, Ritch R.

  8. Management of glaucoma drainage implant tube kink and obstruction with Pars Plana Clip.Netland PA, Schuman S Increased intraocular pressure after glaucoma drainage implant surgery may be caused by obstruction of the tube. A case of obstruction of an Ahmed glaucoma valve tube after pars plana insertion due to kinking of the tube was treated with a Pars Plana Clip (New World Medical, Rancho Cucamonga, CA). Ophthalmic surgery, lasers & imaging 2005 University of Tennessee Health Science Center,Memphis, Tennessee

  9. Graefe's archive for clinical and experimental ophthalmology 2006 Pars plana-modified Ahmed Glaucoma Valve for treatment of refractory glaucoma: a pilot study. Schlote T, Ziemssen F, Bartz-Schmidt KU

  10. Ophthalmic surgery, lasers & imaging2007 Pars plana Ahmed valve implant and vitrectomy in the management of neovascular glaucoma. Faghihi H, Hajizadeh F, Mohammadi SF, Kadkhoda A, Peyman GA, Riazi-Esfahani M.

  11. Cornea october 2007 Penetrating keratoplasty with pars plana glaucoma drainage devices. Ritterband DC, Shapiro D, Trubnik V, Marmor M, Meskin S, Seedor J, Liebmann JM, Tello C, Koplin R, Harizman N, Shabto U, Ritch R; Cornea Glaucoma Implant Study Group (COGIS)

  12. Conclusions: Relatively new Approach with good results Appropriate for patients with • Severe trauma of AC • No defined AC • s\p PKP • NVG Requires skilled vitreo-retinal surgeon

  13. Thank you • ,תמונת בית חולים