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Abstract #8048 Published in IGR 4-3
Combined cataract extraction and Baerveldt glaucoma drainage implant: indications and outcomes
Hoffman KB; Feldman RM; Budenz DL; Gedde SJ; Chacra GA; Schiffman JCOphthalmology 2002; 109: 1916-1920
PURPOSE: To report the indications and outcomes of simultaneous cataract extraction (CE) and Baerveldt glaucoma drainage implant surgery. DESIGN: Noncomparative, interventional, retrospective, consecutive case series. PARTICIPANTS: Thirty-three eyes of 33 patients. INTERVENTION: Combined phacoemulsification CE and Baerveldt glaucoma drainage implant (BGI) surgery at two tertiary care referral centers. MAIN OUTCOME MEASURES: Visual acuity, intraocular pressure (IOP), and complications. RESULTS: The study included 33 eyes of 33 patients followed for an average of 15.4 months (range, 3.0-46.9). The most common indication for combined CE and Baerveldt glaucoma drainage implant surgery was a history of prior failed trabeculectomy. Postoperative visual acuity at last follow-up was ≥ 20/40 in 12 of 33 patients (36%). IOP was reduced from a mean ( ± SD) of 21 ± 7.3 mmHg preoperatively to 13.1 ± 3.5 mmHg at last follow-up visit (p < 0.001). The number of antiglaucoma medications was reduced from a mean (± SD) of 2.3 ± 1.0 preoperatively to 0.7 ± 1.1 at last follow-up (p < 0.001). Three eyes met the authors' criteria for failure, and cumulative survival of the glaucoma surgery at 18 months was 89%. Intraoperative complications were all related to the cataract surgery, whereas early and late postoperative complications were related both to the CE and BGI surgery. CONCLUSIONS: Combined CE and Baerveldt glaucoma drainage implant placement seems to be a safe and effective surgical option and may be preferred in certain clinical situations.
K.B. Hoffman, MD, Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine, Miami, FL 33136, USA
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)