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- Title
Prognostic factors for successful Baerveldt glaucoma implant surgery for refractory glaucoma after multiple surgeries.
- Authors
Matsushita, Kenji; Kawashima, Rumi; Kawasaki, Ryo; Nishida, Kohji
- Abstract
Purpose: To determine the prognostic factors for success 3 years after Baerveldt glaucoma implant (BGI) surgery. Study design: Single-center retrospective clinical study. Methods: We analyzed 27 eyes (24 patients) treated with BGI surgery between 2012 and 2016 at Osaka University Hospital. Patients were followed for a minimum of 3 years postoperatively. We analyzed the success rates and risk factors. Failure was defined as the need for additional surgery for IOP reduction, loss of light perception, and intraocular pressure (IOP) ≧22 mmHg (definition 1) or ≧17 mmHg (definition 2) at two consecutive follow-up visits. Results: The mean number of previous eye surgeries was 4.1 ± 3.3. The success rates were 81.5% and 77.8%, respectively, 1 year and 3 years after surgery based on definition 1 and 51.9% and 48.2%, respectively, based on definition 2. The early and late surgical complication rates, respectively, were 29.6% and 22.2%. An IOP 2 months after BGI surgery of ≧17 mmHg and the number of previous eye surgeries were significant risk factors for failure based on definition 2. Conclusion: The long-term results and complication rates after BGI surgery for refractory glaucoma in our hospital were similar to previous reports, and the IOP 2 months after BGI surgery and the number of previous eye surgeries were associated with the prognosis.
- Subjects
PROGNOSIS; GLAUCOMA; INTRAOCULAR pressure; SURGICAL complications; SURGERY; FILTERING surgery; OPHTHALMIC surgery
- Publication
Japanese Journal of Ophthalmology, 2021, Vol 65, Issue 6, p820
- ISSN
0021-5155
- Publication type
Article
- DOI
10.1007/s10384-021-00864-2