Ocular massage for intraocular pressure control after Ahmed valve insertion

Digital Ocular Massage for Hypertensive Phase After Ahmed Valve Surgery

“…This is, to our knowledge, the first prospective study to examine the use of ocular massage after Ahmed GDD surgery. McIlraith et al, 6 at our institution, performed a retrospective analysis of the outcomes of digital massage in 20 patients who had undergone Ahmed GDD surgery. For the control group McIlraith used patients who had undergone Ahmed GDD surgery but did not develop a hypertensive phase, and concluded that there was no difference between the 2 groups in terms of IOP or glaucoma medications at 1-year postoperatively.…”

“…A retrospective study from our department concluded that digital massage might be useful after Ahmed GDD surgery. 6 The aim of this prospective study was to examine the role of ocular massage in IOP control during the hypertensive phase after Ahmed GDD surgery.…”

Corticosteroids Versus NSAIDs on Intraocular Pressure and the Hypertensive Phase After Ahmed Glaucoma Valve Surgery

“…The study drug was perscribed 4 times daily for 6 weeks followed by a slow taper depending on the inflammatory response. Antiglaucoma medication and digital massage by the patient 15 were instituted when the IOP was considered to be too high by the treating physician. In addition, all patients received 1% atropine twice daily and 0.3% tobramycin 4 times daily postoperatively for 1 week.…”

Tube shunt complications and their prevention

“…The purpose is to improve flow through the surgical site, reducing IOP and inhibiting scar formation from obstructing filtration. McIlraith et al [14] reported that ocular massage is safe and effective for the management of elevated IOP after AGV insertion. It can be extrapolated that ocular massage can be used during the hypertensive phase in nonvalved implants as well after the suture has dissolved or has been cut with a laser.…”

“…Ocular massage is a method that has been described to prevent or blunt the effect of the hypertensive phase [14]. The purpose is to improve flow through the surgical site, reducing IOP and inhibiting scar formation from obstructing filtration.…”