Complications of Baerveldt glaucoma drainage implants

Quang H. Nguyen, Donald L. Budenz, Richard K Parrish

Research output: Contribution to journalArticle

106 Citations (Scopus)

Abstract

Objectives: To report the incidence and identify risk factors of postoperative complications after Baerveldt glaucoma drainage implantation. Methods: A retrospective review of the medical records of all patients at the Bascom Palmer Eye Institute, Miami, Fla, who underwent placement of a Baerveldt glaucoma drainage implant from October 1, 1992, through October 31, 1996, to determine demographic characteristics, preoperative and postoperative intraocular pressures, and complications. Variables were analyzed using the Student t test and Fisher exact test to determine the association between delayed postoperative suprachoroidal hemorrhage and various potential risk factors. Results: A total of 107 eyes of 103 patients were identified. Suprachoroidal hemorrhage occurred in 4 eyes (4%), with onset ranging from 3 to 33 days after implantation. Two eyes (2%) had choroidal effusions requiring surgical drainage, and 20 eyes (19%) had low choroidal effusions requiring only close observation. Tube blockage was observed in 5 eyes (5%). Four eyes (4%) had aqueous misdirection, 2 eyes (2%) had corneal decompensation, and 1 eye (1%) each had endophthalmitis, tube migration, corneal ulcer, hyphema, and implant migration. Patients who were older (P = .04) or had postoperative choroidal effusions (P = .03), low intraocular pressure immediately after the tube opened (P = .03), hypertension (P = .08), or atherosclerosis (P = .09) were more likely to develop suprachoroidal hemorrhage. Conclusions: A lower incidence of serious postoperative complications was observed in Baerveldt implantations in this study when compared with a recent report. Risk factors for serious complications were similar to trabeculectomy.

Original languageEnglish
Pages (from-to)571-575
Number of pages5
JournalArchives of Ophthalmology
Volume116
Issue number5
StatePublished - Sep 17 1998

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Glaucoma Drainage Implants
Intraocular Pressure
Drainage
Hyphema
Hemorrhage
Corneal Ulcer
Postoperative Hemorrhage
Trabeculectomy
Endophthalmitis
Incidence
Glaucoma
Medical Records
Atherosclerosis

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Complications of Baerveldt glaucoma drainage implants. / Nguyen, Quang H.; Budenz, Donald L.; Parrish, Richard K.

In: Archives of Ophthalmology, Vol. 116, No. 5, 17.09.1998, p. 571-575.

Research output: Contribution to journalArticle

Nguyen, QH, Budenz, DL & Parrish, RK 1998, 'Complications of Baerveldt glaucoma drainage implants', Archives of Ophthalmology, vol. 116, no. 5, pp. 571-575.
Nguyen, Quang H. ; Budenz, Donald L. ; Parrish, Richard K. / Complications of Baerveldt glaucoma drainage implants. In: Archives of Ophthalmology. 1998 ; Vol. 116, No. 5. pp. 571-575.
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