Surgical outcomes of Baerveldt implants in pediatric glaucoma patients

Audrey Xi Tai, Jonathan C. Song

Research output: Contribution to journalArticle

Abstract

Purpose To evaluate the efficacy of the Baerveldt glaucoma implant (BGI) in children.

Methods The medical records of pediatric glaucoma patients aged 5 months to 19 years who underwent BGI placement by a single surgeon (JCS) between January 1, 2000, and March 1, 2010, were retrospectively reviewed. Patients were evaluated at 3-9 months, 12-18 months, and 24-30 months after surgery. We defined surgical success as a postoperative intraocular pressure (IOP) of >6 mm Hg and

Results A total of 45 eyes of 36 patients were included. The mean preoperative IOP was 31.6 ± 5.0 mm Hg; the mean postoperative IOP, 16.3 ± 5.1 mm Hg at 3-9 months, 19.5 ± 4.8 mm Hg at 12-18 months, and 18.3 ± 4.8 mm Hg at 24-30 months. Cumulative probability of success was 93.3% at 3-9 months, 86.7% at 12-18 months, and 86.7% at 24-30 months. Overall, 6 eyes failed within 30 months because of uncontrolled IOP (3 eyes), replacement of the glaucoma drainage device (2 eyes), and no light perception (1 eye).

Conclusions In this study cohort, BGI surgery effectively reduced IOP in pediatric patients with refractory glaucoma.

Original languageEnglish (US)
Pages (from-to)550-553
Number of pages4
JournalJournal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus
Volume18
Issue number6
DOIs
StatePublished - Dec 1 2014
Externally publishedYes

Fingerprint

Glaucoma Drainage Implants
Glaucoma
Intraocular Pressure
Pediatrics
Medical Records
Drainage
Cohort Studies
Light
Equipment and Supplies

ASJC Scopus subject areas

  • Ophthalmology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

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abstract = "Purpose To evaluate the efficacy of the Baerveldt glaucoma implant (BGI) in children.Methods The medical records of pediatric glaucoma patients aged 5 months to 19 years who underwent BGI placement by a single surgeon (JCS) between January 1, 2000, and March 1, 2010, were retrospectively reviewed. Patients were evaluated at 3-9 months, 12-18 months, and 24-30 months after surgery. We defined surgical success as a postoperative intraocular pressure (IOP) of >6 mm Hg and Results A total of 45 eyes of 36 patients were included. The mean preoperative IOP was 31.6 ± 5.0 mm Hg; the mean postoperative IOP, 16.3 ± 5.1 mm Hg at 3-9 months, 19.5 ± 4.8 mm Hg at 12-18 months, and 18.3 ± 4.8 mm Hg at 24-30 months. Cumulative probability of success was 93.3{\%} at 3-9 months, 86.7{\%} at 12-18 months, and 86.7{\%} at 24-30 months. Overall, 6 eyes failed within 30 months because of uncontrolled IOP (3 eyes), replacement of the glaucoma drainage device (2 eyes), and no light perception (1 eye).Conclusions In this study cohort, BGI surgery effectively reduced IOP in pediatric patients with refractory glaucoma.",
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AB - Purpose To evaluate the efficacy of the Baerveldt glaucoma implant (BGI) in children.Methods The medical records of pediatric glaucoma patients aged 5 months to 19 years who underwent BGI placement by a single surgeon (JCS) between January 1, 2000, and March 1, 2010, were retrospectively reviewed. Patients were evaluated at 3-9 months, 12-18 months, and 24-30 months after surgery. We defined surgical success as a postoperative intraocular pressure (IOP) of >6 mm Hg and Results A total of 45 eyes of 36 patients were included. The mean preoperative IOP was 31.6 ± 5.0 mm Hg; the mean postoperative IOP, 16.3 ± 5.1 mm Hg at 3-9 months, 19.5 ± 4.8 mm Hg at 12-18 months, and 18.3 ± 4.8 mm Hg at 24-30 months. Cumulative probability of success was 93.3% at 3-9 months, 86.7% at 12-18 months, and 86.7% at 24-30 months. Overall, 6 eyes failed within 30 months because of uncontrolled IOP (3 eyes), replacement of the glaucoma drainage device (2 eyes), and no light perception (1 eye).Conclusions In this study cohort, BGI surgery effectively reduced IOP in pediatric patients with refractory glaucoma.

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