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.
|Number of pages||5|
|Journal||British Journal of Ophthalmology|
|Publication status||Published - Mar 2006|
- Antihypertensive Agents/administration & dosage
- Child, Preschool
- Combined Modality Therapy
- Filtering Surgery/methods
- Glaucoma Drainage Implants/adverse effects
- Infant, Newborn
- Intraocular Pressure
- Prosthesis Implantation/methods
- Retrospective Studies
- Treatment Failure
- Treatment Outcome