NYMC Faculty Publications

Combined Baerveldt Glaucoma Implant and Scleral Buckling Surgery for Patients With Retinal Detachment and Coexisting Glaucoma

Author Type(s)

Faculty

DOI

10.1097/IJG.0b013e318241bc37

Journal Title

Journal of Glaucoma

First Page

294

Last Page

300

Document Type

Article

Publication Date

1-1-2013

Department

Ophthalmology

Keywords

Adolescent, Adult, Aged, Aged, 80 and over, Child, Female, Follow-Up Studies, Glaucoma, Glaucoma Drainage Implants, Humans, Intraocular Pressure, Male, Middle Aged, Retinal Detachment, Retrospective Studies, Scleral Buckling, Tonometry, Ocular, Treatment Outcome, Visual Acuity, Vitrectomy, Young Adult

Disciplines

Medicine and Health Sciences | Ophthalmology | Surgery

Abstract

PURPOSE: To report on the usefulness of combined Baerveldt glaucoma implantation (BGI) and scleral buckling surgery for patients with glaucoma requiring a scleral buckle for retinal detachment repair.

METHODS: Retrospective, consecutive, noncomparative, and interventional case series of 30 eyes (30 patients) that underwent simultaneous scleral buckle and BGI surgery, using a staged (group 1, n=21 patients) or nonstaged (group 2, n=9 patients) approach to BGI implantation. Successful intraocular pressure (IOP) control was defined as 6 mm Hg≤IOP≤18 mm Hg.

RESULTS: Although not statistically significant, mean best corrected visual acuity (LogMAR) improved from 2.0 before surgery to 1.7 after surgery (P=0.13) with a mean follow-up of 27.7 months. Of the 21 patients in group 1, only 13 (62%) required second-stage tube insertion at a mean of 7.0±8.0 months (range, 1 to 24 mo) postoperatively. For these eyes combined with group 2 eyes, mean IOP was reduced from 31.1±10.8 to 12.7±6.0 mm Hg (P

CONCLUSIONS: Combined scleral buckle and BGI is an effective technique for managing coexisting glaucoma and retinal detachment and provides the clinician with a useful surgical option while minimizing surgical risk.

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