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Abstract #47592 Published in IGR 13-4
Long term clinical outcomes of Baerveldt glaucoma implantation via the pars plana
Ueda T; Hiramatsu R; Zenno M; Koide RNippon Ganka Gakkai Zasshi 2011; 115: 581-588
To present the long-term follow-up results of Baerveldt glaucoma implant (BGI) with a drainage tube from the pars plana in secondary glaucoma patients. The subjects were patients with light perception and secondary glaucoma (> 21 mmHg) who had received more than 2 glaucoma operations: 11 were neovascular glaucoma patients and 5 angle-closure glaucoma patients with peripheral anterior synechia. After vitreous surgery, a BGI plate was fixed at the sclera in the superior temporal equator, and a drainage tube inserted from the pars plana into the vitreous cavity. The successful criteria needed to satisfy the 3 following conditions: 1) vision of more than light perception, 2) IOP > or = 5 mmHg and not higher than 22 mmHg, 3) no need for further glaucoma operations. The follow-up period was 82.5 months (from 5 to 172 months). Eight patients were judged a success, 4 patients a failure and 4 patients quit for personal reasons. The 10-year success rate was estimated at 72.8%. BGI via the pars plana is a useful method for long term IOP lowering effect in secondary glaucoma. LA: Japanese
T. Ueda. Department of Ophthalmology, Showa University School of Medicine, Japan. Email: tueda@med.showa-u.ac.jp
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
