Abstract
Purpose: To examine the role of ocular massage during, the hypertensive phase after Ahmed valve surgery
Methods: Nonrandomized prospective study.
Results: Eighteen patients with intraocular pressure (IOP) above target I to 8 weeks after Ahmed glaucoma drainage device Surgery underwent digital Ocular massage. The mean IOP 1 hour after massage was 4.3 mm Hg lower than before massage (18.8%, P=0.0008). We used a 20% reduction in IOP at I-hour postmassage to differentiate responders from nonresponders and by this definition 50% responded to ocular massage. One patient (5.6%) responded well bill Was unable to perform massage at home. The remaining 8 patients (44.4%) performed regular digital massage and the 20% drop in IOP was maintained at the 2-week, 6-week, and 6-month review, although by 6 months 50% required glaucomna drops to achieve target IOP. There were no massage-associated complications in this series.
Conclusions: Digital ocular mass;age has a useful role to play ill the management of the hypertensive phase after Ahmed glaucoma drainage device surgery. In this series 50% of patients achieved a 20% drop in IOP with massage.