Primary Baerveldt versus trabeculectomy study after one-year follow-up

Acta Ophthalmologica
Esma IslamajPeter W T de Waard

Abstract

To compare a Baerveldt implant and trabeculectomy with respect to intraocular pressure (IOP) and failure rate at 1 year of follow-up. Secondary outcomes are pharmacological therapy and complications at 1 year of follow-up. This was a randomized, comparative study. A total of 119 glaucoma patients without previous ocular surgery were included at the Rotterdam Eye Hospital, the Netherlands. One eye of each subject was randomized to either a Baerveldt glaucoma drainage device (BGI) or trabeculectomy (TE). Follow-up visits were conducted at 1 day, 2 weeks, 6 weeks, 3 months, 6 months and 1 year after surgery. After one year, the final IOP was equivalent for both treatment groups: 14 ± 4 mmHg (mean ± SD) for the Baerveldt group versus 13 ± 4 mmHg for the trabeculectomy group. Statistically, we found no significant difference in failure rate between the two groups. However, the Baerveldt group needed significantly more medication to decrease IOP. Overall, self-limiting complication rate was similar in both groups. Diplopia, a serious complication, was significantly more present in the BGI group. One year after surgery, TE shows better results than the BGI. The final IOP, IOP reduction and failure rate are similar, but the need for ad...Continue Reading

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Citations

Sep 18, 2018·Translational Vision Science & Technology·Esma IslamajPeter W T de Waard
Oct 6, 2018·Acta Ophthalmologica·Francisco G Junoy MontolioNomdo M Jansonius
Nov 16, 2019·Acta Ophthalmologica·Esma IslamajPeter W T de Waard
Nov 3, 2020·Journal of Glaucoma·Patrick H LeMeredith R Klifto

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