advertisement
Abstract #15843 Published in IGR 2-3
Baerveldt drainage implants in eyes with a preexisting scleral buckle
Scott IU; Gedde SJ; Budenz DL; Greenfield DS; Flynn HW Jr; Feuer WJ; Mello MO Jr; Krishna R; Godfrey DGArchives of Ophthalmology 2000; 118: 1509-1513
OBJECTIVE: To describe the surgical insertion of a Baerveldt drainage implant and postoperative visual acuity and intraocular pressure (IOP) outcomes in patients with a preexisting scleral buckle. METHODS: Medical records of all patients with a pre-existing scleral buckle who underwent insertion of a Baerveldt drainage implant at Bascom Palmer Eye Institute, Miami, FL, from January 1st, 1994 to December 31st, 1998, were reviewed. Outcome measures included visual acuity and IOP at one year. RESULTS: At one year postoperatively, 14 (88%) of 16 patients had stable or improved visual acuity. Preoperatively, mean IOP was 30.9 mmHg and the mean number of antiglaucoma medications was 3.4; at one year postoperatively, mean IOP was 12.0 mmHg and the mean number of antiglaucoma medications was 0.8 (p < 0.001). Nine patients (56%) achieved an IOP of greater than 5 and no greater than 21 mmHg without medication, and an additional seven (44%) achieved this level of IOP control with medication. No patient required further surgery for uncontrolled IOP during the follow-up interval, which ranged from 19.1-45.5 months. CONCLUSIONS: Baerveldt drainage device insertion behind or over a pre-existing encircling band is often successful in managing refractory glaucoma in patients who have undergone previous scleral buckling procedures.
Dr. I.U. Scott, Bascom Palmer Eye Institute, P.O. Box O16880, Miami, FL 33101, USA
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
