Ahmed Valve Implantation in Pseudophakic Refractory Paediatric Glaucoma - A Case Report

Abstract

Purpose: To report a case of Ahmed valve implantation in pseudophakic refractory paediatric glaucoma. Case Report: A 12 year old boy came to the Glaucoma clinic of Chittagong eye infirmary and training complex with secondary glaucoma resistant to pharmacological treatment in his right eye. Five years before, he underwent cataract extraction with implantation of posterior chamber intraocular lens in his right eye. On ocular examination, his BCVA was 6/60 in the right eye and 6/6 in the left eye. His IOP was 50mmHg in right eye and 16mmHg in the left eye on maximal anti-glaucoma medication. He then underwent Ahmed valve implantation in his right eye. Following the surgery, his visual acuity in the right eye was 6/36 and IOP was 12mmHg. Conclusion: Ahmed valve implantation is a safe and effective modality of treatment for refractory glaucoma. Proper diagnosis and timely intervention can save the eye.