Baerveldt glaucoma implant in paediatric patients

Research output: Contribution to journalArticleResearchpeer-review


AIM: To evaluate the Baerveldt glaucoma implant (BGI) in paediatric glaucoma treatment.

METHODS: In a retrospective non-comparative case series 55 eyes of 40 consecutive paediatric patients (< or =16 years) with primary or secondary glaucoma underwent Baerveldt (350 mm2) implantation. Surgical outcome was evaluated by Kaplan-Meier table analysis.

RESULTS: The overall success rate was 80% at last follow up, with a mean follow up of 32 (range 2-78) months. Cumulative success was 94% at 12 months and 24 months, 85% at 36 months, 78% at 48 months, and 44% at 60 months. 11 eyes (20%) failed postoperatively because of an IOP >21 mm Hg (eight eyes), persistent hypotony (two eyes), and choroidal haemorrhage following cataract surgery (one eye). The most frequent complication needing surgery was tube related (20%). A new observation was mild to moderate dyscoria in 22% of the eyes, all buphthalmic, caused by entrapment of a tuft of peripheral iris in the tube track.

CONCLUSIONS: The BGI is effective and safe in the management of primary and secondary glaucoma. When angle surgery has proved to be unsuccessful or inappropriate in paediatric patients, a BGI is a good treatment option. One must be prepared to deal with the tube related problems.

Original languageEnglish
Pages (from-to)328-32
Number of pages5
JournalBritish Journal of Ophthalmology
Issue number3
Publication statusPublished - Mar 2006


  • Adolescent
  • Antihypertensive Agents/administration & dosage
  • Child
  • Child, Preschool
  • Combined Modality Therapy
  • Filtering Surgery/methods
  • Glaucoma/congenital
  • Glaucoma Drainage Implants/adverse effects
  • Humans
  • Infant
  • Infant, Newborn
  • Intraocular Pressure
  • Prosthesis Implantation/methods
  • Reoperation
  • Retrospective Studies
  • Treatment Failure
  • Treatment Outcome


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