Long-term outcomes of Baerveldt glaucoma implant surgery in Japanese patients

被引:3
作者
Iwasaki, Kentaro [1 ]
Komori, Ryohei [1 ]
Arimura, Shogo [1 ]
Orii, Yusuke [1 ]
Takamura, Yoshihiro [1 ]
Inatani, Masaru [1 ]
机构
[1] Univ Fukui, Fac Med Sci, Dept Ophthalmol, 23-3 Shimoaizuki, Yoshida, Fukui 9101193, Japan
基金
日本学术振兴会;
关键词
TRABECULECTOMY TVT; RISK-FACTORS; TUBE; ENDOPHTHALMITIS;
D O I
10.1038/s41598-023-41673-6
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
This study evaluated the long-term surgical outcomes of Baerveldt glaucoma implant (BGI) surgery in patients with refractory glaucoma (204 eyes/204 patients). Surgical failure was defined by: < 20% reduction in preoperative intraocular pressure (IOP), or criterion A (IOP > 21 mmHg), criterion B (IOP > 17 mmHg), or criterion C (IOP > 14 mmHg). Reoperation, loss of light perception vision, or hypotony also denoted failure. The probability of success at 5 years postoperatively using criteria A, B, and C was 72.4%, 49.7%, and 24.4%, respectively. The mean IOP decreased significantly from 32.7 +/- 9.7 mmHg preoperatively to 13.1 +/- 3.9 mmHg at 5 years; the mean number of glaucoma medications also decreased from 3.7 +/- 1.2 to 1.8 +/- 1.9 (both P < 0.01). The number of previous intraocular surgeries was significantly associated with failure in the multivariable analysis for criterion B (hazard ratio 1.30; P < 0.01) and criterion C (hazard ratio 1.19; P = 0.031). Early and late postoperative complications occurred in 82 (40.2%) and 28 (13.7%) eyes, respectively. Postoperative interventions were performed in 44 eyes (21.6%). BGI surgery resulted in significant long-term decreases in IOP and the number of glaucoma medications. BGI surgery is effective for refractory glaucoma. However, postoperative interventions due to complications are required in numerous cases.
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页数:8
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共 29 条
  • [1] Use of Various Glaucoma Surgeries and Procedures in Medicare Beneficiaries from 1994 to 2012
    Arora, Karun S.
    Robin, Alan L.
    Corcoran, Kevin J.
    Corcoran, Suzanne L.
    Ramulu, Pradeep Y.
    [J]. OPHTHALMOLOGY, 2015, 122 (08) : 1615 - 1624
  • [2] Aqueous Drainage Device Erosion: A Review of Rates, Risks, Prevention, and Repair
    Bains, Upneet
    Hoguet, Ambika
    [J]. SEMINARS IN OPHTHALMOLOGY, 2018, 33 (01) : 1 - 10
  • [3] Five-Year Treatment Outcomes in the Ahmed Baerveldt Comparison Study
    Budenz, Donald L.
    Barton, Keith
    Gedde, Steven J.
    Feuer, William J.
    Schiffman, Joyce
    Costa, Vital P.
    Godfrey, David G.
    Buys, Yvonne M.
    [J]. OPHTHALMOLOGY, 2015, 122 (02) : 308 - 316
  • [4] Different patterns in the corneal endothelial cell loss after pars plana and pars limbal insertion of the Baerveldt glaucoma implant
    Chihara, Etsuo
    Tanito, Masaki
    Kono, Michihiro
    Matsuda, Akira
    Honda, Rio
    Ishida, Kyoko
    Funaki, Toshinari
    Hamanaka, Teruhiko
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 2023, 253 : 12 - 21
  • [5] Five-Year Pooled Data Analysis of the Ahmed Baerveldt Comparison Study and the Ahmed Versus Baerveldt Study
    Christakis, Panos G.
    Zhang, Dongyu
    Budenz, Donald L.
    Barton, Keith
    Tsai, James C.
    Ahmed, Iqbal I. K.
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 2017, 176 : 118 - 126
  • [6] The Ahmed Versus Baerveldt Study Five-Year Treatment Outcomes
    Christakis, Panos G.
    Kalenak, Jeffrey W.
    Tsai, James C.
    Zurakowski, David
    Kammer, Jeffrey A.
    Harasymowycz, Paul J.
    Mura, Juan J.
    Cantor, Louis B.
    Ahmed, Iqbal I. K.
    [J]. OPHTHALMOLOGY, 2016, 123 (10) : 2093 - 2102
  • [7] Age-associated intracellular superoxide dismutase deficiency potentiates dermal fibroblast dysfunction during wound healing
    Fujiwara, Toshihiro
    Dohi, Teruyuki
    Maan, Zeshaan N.
    Rustad, Kristine C.
    Kwon, Sun Hyung
    Padmanabhan, Jagannath
    Whittam, Alexander J.
    Suga, Hirotaka
    Duscher, Dominik
    Rodrigues, Melanie
    Gurtner, Geoffrey C.
    [J]. EXPERIMENTAL DERMATOLOGY, 2019, 28 (04) : 485 - 492
  • [8] Postoperative Complications in the Tube Versus Trabeculectomy (TVT) Study During Five Years of Follow-up
    Gedde, Steven J.
    Herndon, Leon W.
    Brandt, James D.
    Budenz, Donald L.
    Feuer, William J.
    Schiffman, Joyce C.
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 2012, 153 (05) : 804 - 814
  • [9] Treatment Outcomes in the Tube Versus Trabeculectomy (TVT) Study After Five Years of Follow-up
    Gedde, Steven J.
    Schiffman, Joyce C.
    Feuer, William J.
    Herndon, Leon W.
    Brandt, James D.
    Budenz, Donald L.
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 2012, 153 (05) : 789 - 803
  • [10] Prospective observational study of conjunctival scarring after phacoemulsification
    Gozawa, Makoto
    Takamura, Yoshihiro
    Miyake, Seiji
    Yokota, Satoshi
    Sakashita, Masanori
    Arimura, Shogo
    Takihara, Yuji
    Inatani, Masaru
    [J]. ACTA OPHTHALMOLOGICA, 2016, 94 (07) : E541 - E549