Baerveldt drainage implants in eyes with a preexisting scleral buckle

Ingrid U. Scott, Steven J. Gedde, Donald L. Budenz, David S. Greenfield, Harry W. Flynn, William J. Feuer, Mozart O. Mello, Rohit Krishna, David G. Godfrey

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

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 preexisting scleral buckle who underwent insertion of a Baerveldt drainage implant at Bascom Palmer Eye Institute, Miami, Fla, from January 1, 1994, through December 31, 1998, were reviewed. Outcome measures included visual acuity and IOP at 1 year. Results: At 1 year postoperatively, 14 (88%) of 16 patients had stable or improved visual acuity. Preoperatively, mean IOP was 30.9 mm Hg and the mean number of antiglaucoma medications was 3.4; at 1 year postoperatively, mean IOP was 12.0 mm Hg and the mean number of antiglaucoma medications was 0.8 (P<.001). Nine patients (56%) achieved an lOP of greater than 5 and no greater than 21 mm Hg without medication, and an additional 7 (44%) achieved this level of lOP control with medication. No patient required further surgery for uncontrolled lOP during the follow-up interval, which ranged from 19.1 to 45.5 months. Conclusion: Baerveldt drainage device insertion behind or over a preexisting encircling band is often successful in managing refractory glaucoma in patients who have undergone previous scleral buckling procedures.

Original languageEnglish (US)
Pages (from-to)1509-1513
Number of pages5
JournalArchives of ophthalmology
Volume118
Issue number11
DOIs
StatePublished - Jan 1 2000

ASJC Scopus subject areas

  • Ophthalmology

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