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January 2004

The Case for Glaucoma Drainage Implant Surgery in Patients With a Poor Prognosis for Standard Filtering Procedure

Author Affiliations

From the Department of Ophthalmology, University of Miami School ofMedicine, Miami, Fla.



Arch Ophthalmol. 2004;122(1):104-105. doi:10.1001/archopht.122.1.104

Glaucoma drainage implant surgery (GDIS) has substantially improvedthe treatment of patients with poor prognosis for standard filtering procedures,such as trabeculectomy. Early reports14 describedthe beneficial treatment of refractory or recalcitrant glaucoma with GDIS;neovascular glaucoma5 and juvenile glaucoma69; and glaucomaassociated with uveitis,10,11 penetratingkeratoplasty,12 epithelial ingrowth,13 aphakia or pseudophakia,14,15 andfailed filtering surgery.15 Recently, Wilsonet al16 published the results of a clinicaltrial that demonstrated the safety and efficacy of surgery using the Ahmedimplant compared with trabeculectomy for the initial surgical management ofprimary open-angle glaucoma.