Combined cataract extraction and Baerveldt glaucoma drainage implant indications and outcomes

Kara B. Hoffman, Robert M. Feldman, Donald L. Budenz, Steven J. Gedde, Grace Abou Chacra, Joyce C. Schiffman

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

Abstract

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 (± standard deviation) 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 (± standard deviation) of 2.3 ± 1.0 preoperatively to 0.7 ± 1.1 at last follow-up (P < 0.001). Three eyes met our 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.

Original languageEnglish (US)
Pages (from-to)1916-1920
Number of pages5
JournalOphthalmology
Volume109
Issue number10
DOIs
StatePublished - Oct 1 2002

ASJC Scopus subject areas

  • Ophthalmology

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