Pars plana insertion of glaucoma drainage devices for refractory glaucoma

Clinical & Experimental Ophthalmology
M Hannah Pu de GuzmanAdrian C Farinelli

Abstract

Glaucoma drainage devices are more commonly inserted into the anterior chamber because of the relative ease of this method of insertion. However, in certain cases, posterior placement of the tube may be necessary or may be more desirable. The outcome of a series of patients with glaucoma drainage devices inserted into the pars plana was examined. Retrospective chart review of patients who underwent pars plana implantation of Molteno and Baerveldt glaucoma drainage devices at the Sydney Eye Hospital. There were 33 cases reviewed. The mean follow-up period was 30.2 months. The mean final postoperative intraocular pressure was reduced to 13.4 +/- 4.4 mmHg (SD) from 33.06 +/- 8.47 mmHg preoperatively. The mean number of intraocular pressure-lowering medications in use postoperatively was 0.6 +/- 0.8, reduced from 3.6 +/- 1.27 medications in use preoperatively. Sixteen (48.5%) eyes were classified as complete successes, 14 (42.4%) eyes as qualified successes and three eyes (9%) as failures. Kaplan-Meier survival analysis for cumulative success (absence of failure) predicted 61.1% survival at 60 months. Complications included five cases of decompensation of corneas or corneal grafts, one case each of conjunctival wound dehiscence, la...Continue Reading

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Citations

May 5, 2012·Oman Journal of Ophthalmology·Anton M KolomeyerNeelakshi Bhagat
Aug 17, 2010·Ophthalmology·David ReichsteinFranco Recchia
Oct 20, 2009·American Journal of Ophthalmology·Aashish AnandJeffrey M Liebmann
Oct 6, 2007·American Journal of Ophthalmology·Carlos SouzaJoseph Caprioli
Jun 4, 2008·Ophthalmology·Don S MincklerKuldev Singh
Nov 16, 2006·Journal of Glaucoma·Clinton W SheetsJames W Doyle
Sep 9, 2010·Expert Review of Medical Devices·Sameh Mosaed, Donald S Minckler
Jul 25, 2019·Indian Journal of Ophthalmology·Devendra MaheshwariRengappa Ramakrishnan
Aug 24, 2012·Journal of Glaucoma·Peter J G MarisLama A Al-Aswad
Sep 19, 2018·Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society·M de Frutos-LezaunC Irigoyen
Jun 13, 2017·Clinical & Experimental Ophthalmology·Alison FraenkelGraham A Lee
Jan 12, 2019·BMC Ophthalmology·Konstantine PurtskhvanidzeBernhard Nölle
Dec 15, 2011·European Journal of Ophthalmology·Anton M KolomeyerNeelakshi Bhagat

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