Head-to-Head: Ahmed vs. Baerveldt

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Donald Budenz, MD, MPH, presents the data from two 5-years studies comparing the Ahmed Glaucoma Valve with the Baerveldt Glaucoma Implant. He shares how the results affected his own practice.

Posted: 3/01/2017

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Name: Head-to-Head: Ahmed vs. Baerveldt
Uploaded: 2017-03-01T12:06:00+00:00
Description: Donald Budenz, MD, MPH, presents the data from two 5-years studies comparing the Ahmed Glaucoma Valve with the Baerveldt Glaucoma Implant. He shares how the results affected his own practice.

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Head-to-Head: Ahmed vs. Baerveldt

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Head-to-Head: Ahmed vs. Baerveldt

Donald Budenz, MD, MPH, presents the data from two 5-years studies comparing the Ahmed Glaucoma Valve with the Baerveldt Glaucoma Implant. He shares how the results affected his own practice.

Posted: 3/01/2017

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Jeffrey Freedman

8 years ago

The results indicate that the non valved implant is less efficacious than the valved implant. Why then use a less efficacious implant at all? It is always better to try and make the initial surgery as successful as possible. I have always suggested that the cytokine levels in primary aqueous are the cause for greater failure in the Ahmed implant. May I suggest that if one chooses to use the Ahmed then lower the pre-operative pressure for a number of days prior to the surgery to decrease the levels of TGFbeta, and thus increase the chances of less fibrosis in the implant. I have advocated the use of a supra-Tenon implant when the initial implant fails, and this can be done with a 250 Baerveldt or Molteno3SS very easily. Jeff Freedman

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Head-to-Head: Ahmed vs. Baerveldt

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Head-to-Head: Ahmed vs. Baerveldt

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