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Controversies
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.

 

NEIL M.BRESSLER MD

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 reports1-4 describedthe beneficial treatment of refractory or recalcitrant glaucoma with GDIS;neovascular glaucoma5 and juvenile glaucoma6-9; 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.

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