The long-term postoperative effect of the Baerveldt glaucoma drainage device and of a trabeculectomy on the corneal endothelium.


Journal

Acta ophthalmologica
ISSN: 1755-3768
Titre abrégé: Acta Ophthalmol
Pays: England
ID NLM: 101468102

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 30 03 2020
accepted: 02 02 2021
pubmed: 26 2 2021
medline: 22 2 2022
entrez: 25 2 2021
Statut: ppublish

Résumé

To determine whether the postoperative corneal endothelial cell density (ECD) differs between glaucoma patients who underwent Baerveldt implant (BGI) surgery and patients who underwent a trabeculectomy (TE) over 5 years ago. Cross-sectional, observational study including 34 patients who underwent TE and 36 patients who underwent BGI surgery 5-11 years ago, as part of a randomized clinical trial. None of the patients had a history of intraocular surgery prior to their glaucoma surgery. Central and peripheral ECD was measured by using a non-contact specular microscope. Central and peripheral ECD in the TE group was 2285 ± 371 cells/mm Long-term ECD in eyes that underwent a BGI was considerably lower compared with eyes that underwent a TE, mainly in the peripheral cornea. This suggests that BGI causes a larger decrease of ECD than TE. Additionally, the decrease after BGI appears to continue for a longer period than after TE.

Identifiants

pubmed: 33629525
doi: 10.1111/aos.14815
doi:

Types de publication

Journal Article Observational Study Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

212-217

Subventions

Organisme : Rotterdamse Stichting Blindenbelangen (RSB)

Informations de copyright

© 2021 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

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Auteurs

Jeroen M van Kleij (JM)

Rotterdam Ophthalmic Institute, The Rotterdam Eye Hospital, Rotterdam, The Netherlands.

Esma Islamaj (E)

Rotterdam Ophthalmic Institute, The Rotterdam Eye Hospital, Rotterdam, The Netherlands.

Koenraad A Vermeer (KA)

Rotterdam Ophthalmic Institute, The Rotterdam Eye Hospital, Rotterdam, The Netherlands.

Hans G Lemij (HG)

Glaucoma Department, The Rotterdam Eye Hospital, Rotterdam, The Netherlands.

Peter W T de Waard (PWT)

Glaucoma Department, The Rotterdam Eye Hospital, Rotterdam, The Netherlands.

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Classifications MeSH