Baerveldt glaucoma implant insertion in the posterior chamber sulcus
Identifieur interne : 002028 ( Istex/Corpus ); précédent : 002027; suivant : 002029Baerveldt glaucoma implant insertion in the posterior chamber sulcus
Auteurs : Celso Tello ; Edgar M. Espana ; Ricardo Mora ; Syril Dorairaj ; Jeffrey M. Liebmann ; Robert RitchSource :
- British Journal of Ophthalmology [ 0007-1161 ] ; 2007-06.
Abstract
Aim: To report the clinical outcome of a surgical technique for insertion of the silicone tube of a Baerveldt glaucoma implant (BGI) in the posterior chamber sulcus. Methods: Non-comparative, interventional case series. Eight eyes of eight patients, with a follow-up of at least 18 months, who underwent insertion of a BGI with the silicone tube placed in the posterior chamber sulcus between 1998 and 2005 were included. Control of intraocular pressure (IOP), number of pressure-lowering medications, visual acuity and surgical complications were recorded. Results: Eight eyes of eight patients (mean (range) age 76.4 (62–94) years) were included in the study. The IOP was reduced from a preoperative mean (SD) of 28.2 (14.4) to 12.6 (5.8) mm Hg at 18 months. The mean (SD) number of preoperative medications for IOP control was reduced from 2.8 (1.5) to 1.3 (1.5) medications in the same period. No complications were observed during surgery or follow-up. Conclusion: Placement of the silicone tube in the posterior chamber sulcus is a safe and effective alternative technique for IOP control in patients with pseudophakia. Sulcus placement may reduce the likelihood of corneal endothelial loss and avoid the need for pars-plana vitrectomy and posterior segment tube insertion in complicated eyes.
Url:
DOI: 10.1136/bjo.2006.107839
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<front><div type="abstract" xml:lang="en">Aim: To report the clinical outcome of a surgical technique for insertion of the silicone tube of a Baerveldt glaucoma implant (BGI) in the posterior chamber sulcus. Methods: Non-comparative, interventional case series. Eight eyes of eight patients, with a follow-up of at least 18 months, who underwent insertion of a BGI with the silicone tube placed in the posterior chamber sulcus between 1998 and 2005 were included. Control of intraocular pressure (IOP), number of pressure-lowering medications, visual acuity and surgical complications were recorded. Results: Eight eyes of eight patients (mean (range) age 76.4 (62–94) years) were included in the study. The IOP was reduced from a preoperative mean (SD) of 28.2 (14.4) to 12.6 (5.8) mm Hg at 18 months. The mean (SD) number of preoperative medications for IOP control was reduced from 2.8 (1.5) to 1.3 (1.5) medications in the same period. No complications were observed during surgery or follow-up. Conclusion: Placement of the silicone tube in the posterior chamber sulcus is a safe and effective alternative technique for IOP control in patients with pseudophakia. Sulcus placement may reduce the likelihood of corneal endothelial loss and avoid the need for pars-plana vitrectomy and posterior segment tube insertion in complicated eyes.</div>
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<author-notes><corresp>Correspondence to: Dr C Tello Glaucoma Service, New York Eye and Ear Infirmary, 310 East 14th Street, New York, NY 10003, USA; <ext-link xlink:href="ctello@nyee.edu" ext-link-type="email" xlink:type="simple">ctello@nyee.edu</ext-link>
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<abstract xml:lang="en"><p><bold>Aim:</bold>
To report the clinical outcome of a surgical technique for insertion of the silicone tube of a Baerveldt glaucoma implant (BGI) in the posterior chamber sulcus.</p>
<p><bold>Methods:</bold>
Non-comparative, interventional case series. Eight eyes of eight patients, with a follow-up of at least 18 months, who underwent insertion of a BGI with the silicone tube placed in the posterior chamber sulcus between 1998 and 2005 were included. Control of intraocular pressure (IOP), number of pressure-lowering medications, visual acuity and surgical complications were recorded.</p>
<p><bold>Results:</bold>
Eight eyes of eight patients (mean (range) age 76.4 (62–94) years) were included in the study. The IOP was reduced from a preoperative mean (SD) of 28.2 (14.4) to 12.6 (5.8) mm Hg at 18 months. The mean (SD) number of preoperative medications for IOP control was reduced from 2.8 (1.5) to 1.3 (1.5) medications in the same period. No complications were observed during surgery or follow-up.</p>
<p><bold>Conclusion:</bold>
Placement of the silicone tube in the posterior chamber sulcus is a safe and effective alternative technique for IOP control in patients with pseudophakia. Sulcus placement may reduce the likelihood of corneal endothelial loss and avoid the need for pars-plana vitrectomy and posterior segment tube insertion in complicated eyes.</p>
</abstract>
<kwd-group><kwd>BGI, Baerveldt glaucoma implant</kwd>
<kwd>IOP, intraocular pressure</kwd>
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<mods version="3.6"><titleInfo lang="en"><title>Baerveldt glaucoma implant insertion in the posterior chamber sulcus</title>
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<name type="personal"><namePart type="given">Celso</namePart>
<namePart type="family">Tello</namePart>
<affiliation>New York Eye and Ear Infirmary, New York, New York, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Edgar M</namePart>
<namePart type="family">Espana</namePart>
<affiliation>New York Eye and Ear Infirmary, New York, New York, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Ricardo</namePart>
<namePart type="family">Mora</namePart>
<affiliation>New York Eye and Ear Infirmary, New York, New York, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Syril</namePart>
<namePart type="family">Dorairaj</namePart>
<affiliation>New York Eye and Ear Infirmary, New York, New York, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Jeffrey M</namePart>
<namePart type="family">Liebmann</namePart>
<affiliation>New York Eye and Ear Infirmary, New York, New York, USA</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Robert</namePart>
<namePart type="family">Ritch</namePart>
<affiliation>New York Eye and Ear Infirmary, New York, New York, USA</affiliation>
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<subject><genre>hwp-journal-coll</genre>
<topic>Ophthalmologic surgical procedures</topic>
</subject>
<subject><genre>hwp-journal-coll</genre>
<topic>Angle</topic>
</subject>
<subject><genre>hwp-journal-coll</genre>
<topic>Intraocular pressure</topic>
</subject>
<subject><genre>hwp-journal-coll</genre>
<topic>Glaucoma</topic>
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<originInfo><publisher>BMJ Publishing Group Ltd.</publisher>
<place><placeTerm type="text">BMA House, Tavistock Square, London, WC1H 9JR</placeTerm>
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<dateIssued encoding="w3cdtf">2007-06</dateIssued>
<dateCreated encoding="w3cdtf">2007-02-14</dateCreated>
<copyrightDate encoding="w3cdtf">2007</copyrightDate>
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<abstract lang="en">Aim: To report the clinical outcome of a surgical technique for insertion of the silicone tube of a Baerveldt glaucoma implant (BGI) in the posterior chamber sulcus. Methods: Non-comparative, interventional case series. Eight eyes of eight patients, with a follow-up of at least 18 months, who underwent insertion of a BGI with the silicone tube placed in the posterior chamber sulcus between 1998 and 2005 were included. Control of intraocular pressure (IOP), number of pressure-lowering medications, visual acuity and surgical complications were recorded. Results: Eight eyes of eight patients (mean (range) age 76.4 (62–94) years) were included in the study. The IOP was reduced from a preoperative mean (SD) of 28.2 (14.4) to 12.6 (5.8) mm Hg at 18 months. The mean (SD) number of preoperative medications for IOP control was reduced from 2.8 (1.5) to 1.3 (1.5) medications in the same period. No complications were observed during surgery or follow-up. Conclusion: Placement of the silicone tube in the posterior chamber sulcus is a safe and effective alternative technique for IOP control in patients with pseudophakia. Sulcus placement may reduce the likelihood of corneal endothelial loss and avoid the need for pars-plana vitrectomy and posterior segment tube insertion in complicated eyes.</abstract>
<note type="author-notes">Correspondence to: Dr C Tello Glaucoma Service, New York Eye and Ear Infirmary, 310 East 14th Street, New York, NY 10003, USA; ctello@nyee.edu</note>
<subject><genre>Keywords</genre>
<topic>BGI, Baerveldt glaucoma implant</topic>
<topic>IOP, intraocular pressure</topic>
</subject>
<relatedItem type="host"><titleInfo><title>British Journal of Ophthalmology</title>
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<identifier type="ISSN">0007-1161</identifier>
<identifier type="eISSN">1468-2079</identifier>
<identifier type="PublisherID-hwp">bjophthalmol</identifier>
<identifier type="PublisherID-nlm-ta">Br J Ophthalmol</identifier>
<part><date>2007</date>
<detail type="volume"><caption>vol.</caption>
<number>91</number>
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<detail type="issue"><caption>no.</caption>
<number>6</number>
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<extent unit="pages"><start>739</start>
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<identifier type="istex">8A80D08C810FFE1061A42EDC32F7BDDCFBCD998C</identifier>
<identifier type="DOI">10.1136/bjo.2006.107839</identifier>
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<identifier type="PMID">17301121</identifier>
<identifier type="local">0910739</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright 2007 British Journal of Ophthalmology</accessCondition>
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