23-gauge pars plana vitrectomy with pars plana baerveldt tube placement for refractory glaucoma

Anton M. Kolomeyer, Robert D. Fechtner, Marco A. Zarbin, Neelakshi Bhagat

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Purpose. To describe a case series of combined 23-gauge vitrectomy and pars plana Baerveldt tube insertion for intraocular pressure (IOP) control in eyes with glaucoma resistant to maximum tolerated medical therapy and/or having failed previous IOP-lowering procedures. methods. Eight consecutive patients (8 eyes) undergoing a combined procedure were identified and included in this study. Outcome measures included preoperative and final best-corrected visual acuity (VA), IOP, number of glaucoma medications, and complications. Changes in IOP and glaucoma medications were compared by a paired t test. A Kaplan-Meier survival curve was constructed to evaluate IOP control as a function of time. results. Mean patient age was 70.9 years while the mean follow-up time was 12.1 months. Open angle glaucoma was diagnosed in 5 (68%) eyes. Six (75%) eyes were pseudophakic. All eyes received a 250-mm 2 pars plana Baerveldt tube. Vision remained the same or improved in 6 (75%) eyes. Mean preoperative IOP and number of glaucoma medications were significantly (p<0.05) reduced by the combined procedure. Visual acuity of 5 (63%) eyes improved or remained unchanged. Six (75%) eyes encountered minor complications not requiring a return to the operating room. One (13%) eye underwent drainage of hemorrhagic choroidals on postoperative day 12. ConClusions. A combined 23-gauge vitrectomy and pars plana Baerveldt tube insertion could be considered a useful procedure in reducing IOP and the number of glaucoma medications in eyes with refractory glaucoma.

Original languageEnglish (US)
Pages (from-to)90-94
Number of pages5
JournalEuropean Journal of Ophthalmology
Volume22
Issue number1
DOIs
StatePublished - Jan 2011

ASJC Scopus subject areas

  • Ophthalmology

Keywords

  • 23-gauge pars plana vitrectomy
  • Baerveldt drainage device
  • Refractory glaucoma

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