Ahmed Versus Baerveldt Glaucoma Drainage Device in Uveitic Glaucoma: A Retrospective Comparative Study
| Autor: | Marlene R. Moster, Natasha Nayak Kolomeyer, Allen Y Ganjei, Reza Razeghinejad, Sapna Sinha, Jonathan S. Myers, Zoe McWatters, Michael J. Pro, Anand V. Mantravadi, Daniel Lee |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Reoperation Intraocular pressure medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Visual Acuity Glaucoma Prosthesis Implantation Uveitis 03 medical and health sciences Tonometry Ocular 0302 clinical medicine Ophthalmology Uveitic glaucoma Glaucoma surgery Medicine Humans In patient Glaucoma Drainage Implants Intraocular Pressure Aged Retrospective Studies business.industry Retrospective cohort study Middle Aged Glaucoma drainage device medicine.disease eye diseases Treatment Outcome 030221 ophthalmology & optometry Female sense organs medicine.symptom business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Journal of glaucoma. 29(9) |
| ISSN: | 1536-481X |
| Popis: | Precis Baerveldt glaucoma drainage device demonstrated a greater reduction in intraocular pressure (IOP) than Ahmed in patients with uveitic glaucoma. The most common cause of failure was uncontrolled IOP in Ahmed and hypotony in the Baerveldt group. Purpose To compare the efficacy and safety of Ahmed and Baerveldt glaucoma drainage devices in uveitic glaucoma. Materials and methods The retrospective comparative study included patients with uveitic glaucoma who underwent Ahmed or Baerveldt glaucoma drainage device implantation with a minimum follow-up of 3 months. Success was defined as IOP ≥6 and ≤21 mm Hg and >20% reduction on 2 consecutive visits after the third month with (qualified success) or without (complete success) medications and no further glaucoma surgery or loss of vision. IOP, number of medications, visual acuity, complications, and interventions were compared between groups. Results In total, 137 eyes of 122 patients (67 Ahmed, 70 Baerveldt) were included. The preoperative IOP and number of medications in the Ahmed group (32.7±10.3 mm Hg; 4.1±1.3) were similar to Baerveldt (32.1±10.2 mm Hg; 4.3±1.3; P=0.73, 0.35). These at the last follow-up were (18.1±9.8 mm Hg; 2.1±1) in Ahmed and (12.7±6.9 mm Hg; 1.3±1.3) in Baerveldt groups (P=0.04, 0.01). The Baerveldt had greater IOP reduction (60.3% vs. 44.5%) and complete success rate (30% vs. 9%) with higher complication rate (51.4% vs. 20.9%) (all P≤0.05). The de novo glaucoma reoperation rate was 19% in the Ahmed group and 4% in the Baerveldt group (P=0.006). Hypotony resulted in failure in 7 eyes (10%) in the Baerveldt group and none in the Ahmed group (P=0.013). Conclusions Higher complete success rate and significantly greater reduction in mean IOP and number of medications were observed in the Baerveldt group, but with a higher rate of complications including hypotony. |
| Databáze: | OpenAIRE |
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