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Experience with the Baerveldt glaucoma implant in treating neovascular glaucoma.

Publication ,  Journal Article
Sidoti, PA; Dunphy, TR; Baerveldt, G; LaBree, L; Minckler, DS; Lee, PP; Heuer, DK
Published in: Ophthalmology
July 1995

PURPOSE: The authors present a retrospective study designed to assess the effectiveness of the Baerveldt glaucoma implant in controlling intraocular pressure (IOP) and maintaining visual function in eyes with neovascular glaucoma. METHODS: The medical records of all 36 patients (36 eyes) who underwent Baerveldt glaucoma implantation for medically uncontrolled neovascular glaucoma between February 1991 and December 1992 were reviewed. RESULTS: Eighteen patients received Model 350 implants, 16 received Model 500 implants, and 2 received Model 200 implants. The 12- and 18-month life-table success rates (success defined as 6 mmHg < or = final IOP < or = 21 mmHg without additional glaucoma surgery or devastating complication) were 79% and 56%, respectively. Visual acuity remained stable or improved in 10 (31%) patients. Postoperative complications included flat anterior chamber, serous choroidal detachment, and obstruction of the proximal tube tip with fibrovascular tissue, each of which occurred in four (11%) patients. Eleven (31%) patients lost light perception. There were no significant differences between the groups receiving the Model 350 and Model 500 implants with respect to life-table success rates, percentage of postoperative IOP reduction, or complication rates. Patients in the Model 500 implant group required significantly fewer antiglaucoma medications post-operatively, but also demonstrated a significantly greater mean visual acuity reduction. Better preoperative visual acuity and increased patient age were positively correlated with a successful outcome. CONCLUSIONS: Baerveldt implantation is effective in controlling IOP elevation associated with neovascular glaucoma. Postoperative visual loss, despite adequate IOP control, is common. Young patient age and poorer preoperative visual acuity are significant predictors of surgical failure.

Duke Scholars

Published In

Ophthalmology

DOI

ISSN

0161-6420

Publication Date

July 1995

Volume

102

Issue

7

Start / End Page

1107 / 1118

Location

United States

Related Subject Headings

  • Visual Acuity
  • Treatment Outcome
  • Retrospective Studies
  • Prostheses and Implants
  • Postoperative Complications
  • Ophthalmology & Optometry
  • Middle Aged
  • Life Tables
  • Intraocular Pressure
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Sidoti, P. A., Dunphy, T. R., Baerveldt, G., LaBree, L., Minckler, D. S., Lee, P. P., & Heuer, D. K. (1995). Experience with the Baerveldt glaucoma implant in treating neovascular glaucoma. Ophthalmology, 102(7), 1107–1118. https://doi.org/10.1016/s0161-6420(95)30904-9
Sidoti, P. A., T. R. Dunphy, G. Baerveldt, L. LaBree, D. S. Minckler, P. P. Lee, and D. K. Heuer. “Experience with the Baerveldt glaucoma implant in treating neovascular glaucoma.Ophthalmology 102, no. 7 (July 1995): 1107–18. https://doi.org/10.1016/s0161-6420(95)30904-9.
Sidoti PA, Dunphy TR, Baerveldt G, LaBree L, Minckler DS, Lee PP, et al. Experience with the Baerveldt glaucoma implant in treating neovascular glaucoma. Ophthalmology. 1995 Jul;102(7):1107–18.
Sidoti, P. A., et al. “Experience with the Baerveldt glaucoma implant in treating neovascular glaucoma.Ophthalmology, vol. 102, no. 7, July 1995, pp. 1107–18. Pubmed, doi:10.1016/s0161-6420(95)30904-9.
Sidoti PA, Dunphy TR, Baerveldt G, LaBree L, Minckler DS, Lee PP, Heuer DK. Experience with the Baerveldt glaucoma implant in treating neovascular glaucoma. Ophthalmology. 1995 Jul;102(7):1107–1118.
Journal cover image

Published In

Ophthalmology

DOI

ISSN

0161-6420

Publication Date

July 1995

Volume

102

Issue

7

Start / End Page

1107 / 1118

Location

United States

Related Subject Headings

  • Visual Acuity
  • Treatment Outcome
  • Retrospective Studies
  • Prostheses and Implants
  • Postoperative Complications
  • Ophthalmology & Optometry
  • Middle Aged
  • Life Tables
  • Intraocular Pressure
  • Humans