New approach to AGV implantation with scleral tunnel method by prolene suture: ?im?ek Technique

Purpose: To present the short-term outcomes of our novel technique, the suture-assisted method, in long scleral tunnel Ahmed Glaucoma Valve (AGV) implantation Methods: This retrospective study included glaucoma patients who underwent AGV implantation using the suture-assisted long scleral tunnel method and were fellowed for at least 6 months between January 2022 and November 2022. Preoperative and postoperative assessments included best-corrected visual acuity (BCVA), intraocular pressure (IOP), anterior and posterior segment examinations, anti-glaucomatous medications, and intraoperative and postoperative complications were also evaluated. Results: Eight eyes of seven patients were included in the study. The mean age was 52.25 +/- 29.38 years (r:8-76 years), and there were 5 female and 2 male patients. The mean follow-up duration period was 8.62 +/- 2.50 months (r:6-12 months). The mean IOP was 27.12 +/- 3.48 mmHg preoperatively and 11.62 +/- 3.48 mmHg on postoperative on 1st day, 11.62 +/- 3.20 mmHg at 1st week, 18.75 +/- 8.94 mmHg at 1st month, 16.62 +/- 2.72 mmHg at 3rd month, 16.12 +/- 3.75 mmHg at 6th month. Postoperative hyphema was observed in one eye, and tenon cyst excision was performed in two eyes. No tube exposure was observed in any eye during the follow-up period. No hypotony-related complications were observed during follow-up. Conclusion: We believe that suture-asissted application of the long scleral tunnel method not only prevents tube exposure but also facilitates the passage of the AGV silicone tube through the scleral tunnel, reducing the surgical time contributing to a decreased the risk of infection.