Prognostic factors for successful Baerveldt glaucoma implant surgery for refractory glaucoma after multiple surgeries.
Baerveldt glaucoma implant (BGI)
Late complications
Prognostic factor
Refractory glaucoma
Journal
Japanese journal of ophthalmology
ISSN: 1613-2246
Titre abrégé: Jpn J Ophthalmol
Pays: Japan
ID NLM: 0044652
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
11
02
2021
accepted:
28
06
2021
pubmed:
11
8
2021
medline:
27
10
2021
entrez:
10
8
2021
Statut:
ppublish
Résumé
To determine the prognostic factors for success 3 years after Baerveldt glaucoma implant (BGI) surgery. Single-center retrospective clinical study. 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. 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. 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.
Identifiants
pubmed: 34374907
doi: 10.1007/s10384-021-00864-2
pii: 10.1007/s10384-021-00864-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
820-826Subventions
Organisme : Ministry of Education, Culture, Sports, Science and Technology
ID : Grants-in-Aid for Scientific Research C (No. 18K09406)
Organisme : Ministry of Education, Culture, Sports, Science and Technology
ID : Grants-in-Aid for Early-Career Scientists (No. 20K18379)
Informations de copyright
© 2021. Japanese Ophthalmological Society.
Références
Gedde SJ, Schiffman JC, Feuer WJ, Herndon LW, Brandt JD, Budenz DL, et al. Treatment outcomes in the Tube Versus Trabeculectomy (TVT) study after five years of follow-up. Am J Ophthalmol. 2012;153:789-803.e2.
doi: 10.1016/j.ajo.2011.10.026
Gedde SJ, Herndon LW, Brandt JD, Budenz DL, Feuer WJ, Schiffman JC, et al. Postoperative complications in the Tube Versus Trabeculectomy (TVT) study during five years of follow-up. Am J Ophthalmol. 2012;153:804-814.e1.
doi: 10.1016/j.ajo.2011.10.024
Ramulu PY, Corcoran KJ, Corcoran SL, Robi AL. Utilization of various glaucoma surgeries and procedures in Medicare beneficiaries from 1995 to 2004. Ophthalmology. 2007;114:2265–70.
doi: 10.1016/j.ophtha.2007.02.005
Vinod K, Gedde SJ, Feuer WJ, Panarelli JF, Chang TC, Chen PP, et al. Practice preferences for glaucoma surgery: a survey of the American Glaucoma Society. J Glaucoma. 2017;26:687–93.
doi: 10.1097/IJG.0000000000000720
Iwasaki K, Arimura S, Takamura Y, Inatani M. Clinical practice preferences for glaucoma surgery in Japan: a survey of Japan Glaucoma Society specialists. Jpn J Ophthalmol. 2020;64:385–91.
doi: 10.1007/s10384-020-00749-w
Barton K, Gedde SJ, Budenz DL, Feuer WJ, Schiffman JC, The Ahmed Baerveldt Comparison Study group. The Ahmed Baerveldt Comparison Study methodology, baseline patient characteristics, and intraoperative complications. Ophthalmology. 2011;118:435–42.
doi: 10.1016/j.ophtha.2010.07.015
Harrell EF, Lee KL, Califf RM, Pryor DB, Rosati RA. Regression modelling strategies for improved prognostic prediction. Stat Med. 1984;3:143–52.
doi: 10.1002/sim.4780030207
Christakis PG, Zhang D, Budenz DL, Barton K, Tsai JC, Ahmed IK, et al. Five-year pooled data analysis of the Ahmed Baerveldt Comparison Study and the Ahmed Versus Baerveldt Study. Am J Ophthalmol. 2017;176:118–26.
doi: 10.1016/j.ajo.2017.01.003
Gedde SJ, Schiffman JC, Feuer WJ, Herndon LW, Brandt JD, Budenz DL, et al. Three-year follow-up of the tube versus trabeculectomy study. Am J Ophthalmol. 2009;148:670–84.
doi: 10.1016/j.ajo.2009.06.018
Barton K, Feuer WJ, Budenz DL, Schiffman J, Costa VP, Godfrey DG, et al. Three-year treatment outcomes in the Ahmed Baerveldt Comparison Study. Ophthalmology. 2014;121:1547–57.
doi: 10.1016/j.ophtha.2014.01.036
Christakis PG, Tsai JC, Kalenak JW, et al. The Ahmed versus Baerveldt Study three-year treatment outcomes. Ophthalmology. 2013;120:2232–40.
doi: 10.1016/j.ophtha.2013.04.018
Sungur G, Yakin M, Eksioglu U, Zurakowski D, Cantor LB, Kammer JA, et al. Assessment of conditions affecting surgical success of Ahmed glaucoma valve implants in glaucoma secondary to different uveitis etiologies in adults. Eye (Lond). 2017;31:1435–42.
doi: 10.1038/eye.2017.84
Iwasaki K, Kanamoto M, Takihara Y, Arimura S, Takamura Y, Kimura H, et al. Evaluation of bleb fluid after Baerveldt glaucoma implantation using magnetic resonance imaging. Sci Rep. 2017;7:11345.
doi: 10.1038/s41598-017-11054-x
Iwasaki K, Kanamoto M, Arimura S, Takamura Y, Kimura H, Inatani M. Filtering Blebs after Baerveldt Glaucoma implantation using magnetic resonance imaging: a prospective investigation. Ophthalmol Glaucoma. 2020;3:221–4.
doi: 10.1016/j.ogla.2020.01.003
Lloyd MA, Baerveldt G, Fellenbaum PS, Sidoti PA, Minckler DS, Martoni JF, et al. Intermediate–term results of a randomized clinical trial of the 350– versus the 500–mm2 Baerveldt Implant. Ophthalmology. 1994;101:1456–64.
doi: 10.1016/S0161-6420(94)31152-3