Abstract

AGV is the most commonly performed shunt surgery world wide.17 AGVs were implanted for IOP control–indications NVG, Blunt trauma with loss of intraocular lens/crystalline lens, NVI due to chronic inflammation of uncontrolled angle closure glaucoma, uncontrolled IOP despite Trabeculectomy,post VR surgery &chronic uveitis. AGV had to be combined with intravitreal Anti VEGFs, cataract surgery, Aniridia IOL, Scleral fixated IOL,PPV,endolaser in selected cases.
Three shunts implanted posteriorly after vitrectomy and the others in the anterior chamber. All needed Glaucoma medication ( Dorzox T ) to control intraocular pressure during the hypertensive phase. One had tube erosion necessitating repeat surgery ultimately re-implantation of tube in another area. 3 required more anti glaucoma medication in addition to Dorzox T to control IOP. None had endothelial cell loss.

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