gms | German Medical Science

At present one of optimum methods of treatment of the second glaucoma is setting of AGV. We want to report about applications of AGV at second glaucoma as a result of the closed globe eye trauma. Case 1: Under the observation there was a patient with lens subluxation, 1 degree. The visual acuity was 20/20, initial narrowing of visual field only. In spite of maximum antihypertensive therapy IOP was 39-45 mm Hg. Setting of AGV on a standard method allowed to lower IOP and preserve vision, avoid cataract surgery on an eye with high IOP. Case 2: We looked after a patient with lens luxation into the vitreous body, haemophthalmus, Berlin\'27s edema and detachment of inferior part of retina with a giant tear from ora serrata. The baseline visual acuity was 0,001. After encircling scleral buckling (ESB) and vitreoretinal surgery the visual acuity was 6/200 with an aphakic correction. In spite of maximum antihypertensive therapy IOP was 36–39 mm Hg. There was persistent corneal erosion .We set a valve behind ESB, conducted a drainpipe under ESB and entered it in a anterior chamber standard. IOP was normal. Setting of AGV allowed to get the visual acuity equal 4/20 with an aphakic correction and attain corneal epithelization. Follow-up period was 11 months (case 1) and 7 months (case 2). Application of AGV is the effective method of treatment of posttraumatic glaucoma, normalizing IOP without drops, including complicated cases.