gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Experiences with pars plana Baerveldt glaucoma drainage implants in surgery of complicated angle closure glaucoma

Meeting Abstract

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  • corresponding author T. Theelen - Universitair Medisch Centrum Nijmegen/NL
  • A. F. Deutman - Universitair Medisch Centrum Nijmegen/NL

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogSO.02.10

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2004/04dog431.shtml

Veröffentlicht: 22. September 2004

© 2004 Theelen et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

In secundary angle closure glaucoma the occuring changes are difficult to predict. Due to iris neovascularisation and anterior synechiae insertion of a drainage tube into the anterior chmaber is difficult and complications like haemorrhages may arise. Aqueous drainage via the posterior segment after vitrectomy seems to be a secure alternative.

Methods

Six consecutive patients with uncontrolled secundary angle closure glaucoma were prospectively studied. All eyes were treated by pars-plana vitrectomy and shaving of the vitreous base and a Baerveldt glaucoma drainage implant adapted for pars-plana insertion was placed. If patients were phakic, cataract surgery by phacoemulsification and IOL implantation was done firstly. Postoperative follow-up included a minimum period of six months.

Results

No complications were observed intraoperatively. Mean visual acuity remained stable at 0,2 (SD=0,18). Mean intraocular pressure decreased from 41 mmHg (SD=5) to 11 mmHg (SD=9). Postoperative complications included temporary haemorrhagic choroidal detachment in one eye and a retinal detachment due to PVR three months after surgery in a case with pre-existing retinitis. In two patients the use of antiglaucomatous eye drops is still necessary.

Conclusions

By employing the pars plana adapted Baerveldt glaucoma drainage implant intraocular pressure can successfully be controlled in complicated angle closure glaucoma. In addition, underlying vitreoretinal pathology may be treated simultaneously. Drawbacks are the need of an extensive vitrectomy with vitreous shaving and the long-lasting surgery with high-prized equipment.