gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Application of The Ahmed Glaucoma Valve (AGV) at posttraumatic glaucoma

Meeting Abstract

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  • Alexey N. Kulikov - St. Petersburg/Russia
  • E.V. Boiko - St. Petersburg/Russia

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008P16

The electronic version of this article is the complete one and can be found online at:

Published: June 18, 2008

© 2008 Kulikov et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



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.