Abstract
Purpose
To evaluate the efficacy and safety of Ultrasound Cycloplasty (UCP) versus Ahmed Glaucoma Valve (AGV) implantation in the treatment of neovascular glaucoma.Methods
A total of 80 patients (80 eyes) were enrolled and assigned to receive either UCP or AGV treatment (40 eyes each). Patients were followed up for 6 months postoperatively. Intraocular pressure (IOP), number of IOP-lowering medications, pain score, visual acuity, and complications were recorded. Complete surgical success was defined as an IOP reduction of ≥ 20% from baseline and maintained between 5 and 21 mmHg, without the need for additional medications or further surgery.Results
Preoperative baseline characteristics showed no significant differences between the two groups. On postoperative day 1, the AGV group showed a greater reduction in IOP compared to the UCP group (p Conclusion
Both UCP and AGV are effective in reducing IOP. However, UCP resulted in more stable postoperative IOP, fewer complications, and offered better safety and patient comfort.