“…Hypotony rates range from 5% to 29% for the Ahmed implant 14,31,32 and 24% to 27% for the Krupin implant. 33,34 Other reported difficulties with valved implants include variable valve function, 35 variable valve resistance, 36 and late valve failure. 37,38 Finally, as increased plate surface area seems to improve IOP control up to a certain size, 39,40 valved implants may not achieve the same IOP as nonvalved implants with larger surface areas.…”