nach oben

Graefe's Archive for Clinical and Experimental Ophthalmology

Erschienen in:

22.07.2017 | Glaucoma

Baerveldt® glaucoma implant surgery with the double scleral flap technique to prevent Hoffman elbow exposure

verfasst von: Naoki Tojo, Tomoko Ueda-Consolvo, Shuichiro Yanagisawa, Atsushi Hayashi

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 10/2017

Einloggen, um Zugang zu erhalten

Abstract

Objective

To compare the efficacy and safety of the Baerveldt® glaucoma implant (BGI) between a preserved donor scleral patch alone and double scleral flaps, comprising a preserved donor scleral patch and an autologous scleral pedicle flap.

Methods

This was an open-label retrospective study. We analyzed the cases of 52 consecutive patients (56 eyes) who underwent BGI surgery with the Hoffman elbow (#BG 102–350, Abbott) and were followed up for >1 year. Twenty-one eyes underwent BGI surgery with a preserved donor scleral patch alone (donor-patch group), and the other 35 eyes underwent BGI surgery with a preserved donor scleral patch and an autologous scleral pedicle flap (double-flap group). The main outcome was the incidence of Hoffman elbow exposure associated with each surgical approach.

Results

Three patients in the donor-patch group (14.3%) developed Hoffman elbow exposure, whereas in the double-flap group, no cases had Hoffman elbow exposure (p = 0.048).

Conclusions

The use of the double scleral flaps technique was more efficient in preventing Hoffman elbow exposure.

Mosaed S (2011) Update on aqueous shunts in glaucoma. Int Ophthalmol Clin 51:155–164. doi:10.1097/IIO.0b013e31821e5a79 CrossRefPubMed

Nguyen QH (2004) Avoiding and managing complications of glaucoma drainage implants. Curr Opin Ophthalmol 15:147–150CrossRefPubMed

Al-Torbak AA, Al-Shahwan S, Al-Jadaan I, Al-Hommadi A, Edward DP (2005) Endophthalmitis associated with the Ahmed glaucoma valve implant. Br J Ophthalmol 89:454–458. doi:10.1136/bjo.2004.049015 CrossRefPubMedPubMedCentral

Smith MF, Doyle JW, Sherwood MB (1995) Comparison of the Baerveldt glaucoma implant with the double-plate Molteno drainage implant. Arch Ophthalmol 113:444–447CrossRefPubMed

Ranganath A, Hashim A (2011) Late-onset endophthalmitis secondary to exposed glaucoma tube implant in a rare case of paediatric glaucoma. Case Rep Ophthalmol Med 183647. doi:10.1155/2011/183647

Zeppa L, Romano MR, Capasso L, Tortori A, Majorana MA, Costagliola C (2010) Sutureless human sclera donor patch graft for Ahmed glaucoma valve. Eur J Ophthalmol 20:546–551PubMed

Wigton E, Jason CS, Joiner W, Feldman A, McGwin G Jr, Huisingh C, Curcio CA, Girkin CA (2014) Outcomes of shunt tube coverage with glycerol preserved cornea versus pericardium. J Glaucoma 23:258–261. doi:10.1097/IJG.0b013e31826a96e8 CrossRefPubMed

Lankaranian D, Reis R, Henderer JD, Choe S, Moster MR (2008) Comparison of single thickness and double thickness processed pericardium patch graft in glaucoma drainage device surgery: a single surgeon comparison of outcome. J Glaucoma 17:48–51. doi:10.1097/IJG.0b013e318133fc49 CrossRefPubMed

Smith MF, Doyle JW, Ticrney JW Jr (2002) A comparison of glaucoma drainage implant tube coverage. J Glaucoma 11:143–147CrossRefPubMed

10.

Brandt JD (1993) Patch grafts of dehydrated cadaveric dura mater for tube-shunt glaucoma surgery. Arch Ophthalmol 111:1436–1439CrossRefPubMed

11.

Spierer O, Waisbourd M, Golan Y, Newman H, Rachmiel R (2016) Partial thickness corneal tissue as a patch graft material for prevention of glaucoma drainage device exposure. BMC Ophthalmol 16:20. doi:10.1186/s12886-016-0196-2 CrossRefPubMedPubMedCentral

12.

Spierer O, Rachmiel R, Lazar M, Alba M, Varssano D (2012) Double use of corneal graft for Descemet stripping automated endothelial keratoplasty and coverage of glaucoma drainage device tube. J Glaucoma 21:490–492. doi:10.1097/IJG.0b013e31821831b0 CrossRefPubMed

13.

Ekici F, Moster MR, Cvintal V, Hu WD, Waisbourd M (2015) Tube shunt coverage with gamma-irradiated cornea allograft (VisionGraft). Clin Ophthalmol 9:751–755. doi:10.2147/OPTH.S78803 CrossRefPubMedPubMedCentral

14.

Gutierrez-Diaz E, Montero-Rodriguez M, Mencia-Gutierrez E, Cabello A, Monescillo J (2005) Long-term persistence of fascia lata patch graft in glaucoma drainage device surgery. Eur J Ophthalmol 15:412–414

15.

Ainsworth G, Rotchford A, Dua HS, King AJ (2006) A novel use of amniotic membrane in the management of tube exposure following glaucoma tube shunt surgery. Br J Ophthalmol 90:417–419. doi:10.1136/bjo.2005.084905 CrossRefPubMedPubMedCentral

16.

Freedman J, Bhandari R (2011) Supra-tenon capsule placement of original Molteno vs Molteno 3 tube implants in black patients with refractory glaucoma: a single-surgeon experience. Arch Ophthalmol 129:993–997. doi:10.1001/archophthalmol.2011.183 CrossRefPubMed

17.

Han JC, Hwang YH, Ahn BH (2016) Membrane-tube-type glaucoma shunt device for refractory glaucoma surgery. Graefes Arch Clin Exp Ophthalmol. doi:10.1007/s00417-016-3510-z

18.

Low SA, Rootman DB, Rootman DS, Trope GE (2012) Repair of eroded glaucoma drainage devices: mid-term outcomes. J Glaucoma 21:619–622. doi:10.1097/IJG.0b013e3182447d83 CrossRefPubMed

19.

Stewart WC, Kristoffersen CJ, Demos CM, Fsadni MG, Stewart JA (2010) Incidence of conjunctival exposure following drainage device implantation in patients with glaucoma. Eur J Ophthalmol 20:124–130PubMed

20.

Budenz DL, Feuer WJ, Barton K, Schiffman J, Costa VP, Godfrey DG, Buys YM, Ahmed Baerveldt Comparison Study G (2016) Postoperative complications in the Ahmed Baerveldt comparison study during five years of follow-up. Am J Ophthalmol 163:75–82 e73. doi:10.1016/j.ajo.2015.11.023 CrossRefPubMed

21.

Trubnik V, Zangalli C, Moster MR, Chia T, Ali M, Martinez P, Richman J, Myers JS (2015) Evaluation of risk factors for glaucoma drainage device-related erosions: a retrospective case-control study. J Glaucoma 24:498–502. doi:10.1097/IJG.0000000000000034 CrossRefPubMed

22.

Nagi KS, Cumba RJ, Bell NP, Blieden LS, Chuang AZ, Mankiewicz KA, Nguyen D, Feldman RM (2013) Short-term outcomes of KeraSys patch graft for glaucoma drainage devices: a case series. J Ophthalmol 2013:784709. doi:10.1155/2013/784709 CrossRefPubMedPubMedCentral

23.

Ollila M, Falck A, Airaksinen PJ (2005) Placing the Molteno implant in a long scleral tunnel to prevent postoperative tube exposure. Acta Ophthalmol Scand 83:302–305. doi:10.1111/j.1600-0420.2005.00450.x CrossRefPubMed

24.

Koval MS, El Sayyad FF, Bell NP, Chuang AZ, Lee DA, Hypes SM, Grover DS, Baker LA, Huddleston SM, Budenz DL, Feldman RM (2013) Risk factors for tube shunt exposure: a matched case-control study. J Ophthalmol 2013:196215. doi:10.1155/2013/196215 CrossRefPubMedPubMedCentral

25.

Chaku M, Netland PA, Ishida K, Rhee DJ (2016) Risk factors for tube exposure as a late complication of glaucoma drainage implant surgery. Clin Ophthalmol 10:547–553. doi:10.2147/OPTH.S104029 PubMedPubMedCentral

26.

Geffen N, Buys YM, Smith M, Anraku A, Alasbali T, Rachmiel R, Trope GE (2014) Conjunctival complications related to Ahmed glaucoma valve insertion. J Glaucoma 23:109–114. doi:10.1097/IJG.0b013e31826ab693 CrossRefPubMed

27.

Levinson JD, Giangiacomo AL, Beck AD, Pruett PB, Superak HM, Lynn MJ, Costarides AP (2015) Glaucoma drainage devices: risk of exposure and infection. Am J Ophthalmol 160:516–521 e512. doi:10.1016/j.ajo.2015.05.025 CrossRefPubMedPubMedCentral

28.

Campagnoli TR, Kim SS, Smiddy WE, Gedde SJ, Budenz DL, Parrish RK 2nd, Palmberg PF, Feuer W, Shi W (2015) Combined pars plana vitrectomy and Baerveldt glaucoma implant placement for refractory glaucoma. Int J Ophthalmol 8:916–921. doi:10.3980/j.issn.2222-3959.2015.05.11 PubMedPubMedCentral

29.

Wolf A, Hod Y, Buckman G, Stein N, Geyer O (2016) Use of autologous scleral graft in Ahmed glaucoma valve surgery. J Glaucoma 25:365–370. doi:10.1097/IJG.0000000000000232 CrossRefPubMed

30.

Chihara E, Umemoto M, Tanito M (2012) Preservation of corneal endothelium after pars plana tube insertion of the Ahmed glaucoma valve. Jpn J Ophthalmol 56:119–127. doi:10.1007/s10384-011-0108-1 CrossRefPubMed

31.

Kolomeyer AM, Seery CW, Emami-Naeimi P, Zarbin MA, Fechtner RD, Bhagat N (2015) Combined pars plana vitrectomy and pars plana Baerveldt tube placement in eyes with neovascular glaucoma. Retina 35:17–28. doi:10.1097/IAE.0000000000000235 CrossRefPubMed

Titel: Baerveldt® glaucoma implant surgery with the double scleral flap technique to prevent Hoffman elbow exposure
verfasst von: Naoki Tojo
Tomoko Ueda-Consolvo
Shuichiro Yanagisawa
Atsushi Hayashi
Publikationsdatum: 22.07.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 10/2017
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-017-3726-6

One-year efficacy of adjunctive use of Ripasudil, a rho-kinase inhibitor, in patients with glaucoma inadequately controlled with maximum medical therapy

Glaucoma

Mapping diurnal changes in choroidal, Haller’s and Sattler’s layer thickness using 3-dimensional 1060-nm optical coherence tomography

Basic Science

Characteristics of retinal vessels in surgically closed macular hole: an optical coherence tomography angiography study

Retinal Disorders

Coats’ disease: not such a smooth ride

Editorial (by Invitation)

Minimally invasive glaucoma surgery. A practical guide. (2016) Editors: B. A. Francis, S R Sarkisian Jr., J C Tan. 236 pp. ISBN 978-1-62,623-156-6 e-ISBN 978-1-62,623-155-9 Thieme Publishers New York/Stuttgart

Book Review

Photodynamic therapy in chronic central serous chorioretinopathy with subretinal fluid outside the fovea

Open Access
Medical Ophthalmology

Neu im Fachgebiet Augenheilkunde

Zirkulierende Tumorzellen bei uvealem Melanom

Aderhautmelanom
Leitthema

Die Erstbeschreibung von Tumorzellen in der Blutbahn erfolgte 1869 durch Thomas Ashworth. Dieser beschrieb in der Blutprobe eines metastasierten Krebskranken „cells identical with those of the cancer itself“ und postulierte, dass diese „may tend …

Elektrophysiologie in der Augenheilkunde

Visuell-evozierte-Potentiale
CME-Artikel

Mit elektrophysiologischen Untersuchungen kann man in der Augenheilkunde die Funktionalität der Neurone der Sehbahn untersuchen. Weil elektrophysiologische Ableitungen von der subjektiven Wahrnehmung und Antwort des Patienten unabhängig sind …

„Liquid biopsy“ bei Retinoblastom

Retinoblastom
Leitthema

Die „liquid biopsy“ spielt eine zunehmend wichtige Rolle bei der Diagnose und Behandlung des Retinoblastoms. Die Möglichkeit der sicheren und unkomplizierten Entnahme und Untersuchung von Kammerwasser aus der Vorderkammer trägt wesentlich zur …

Die „onkologische Spur“: zirkulierende Tumor-DNA beim Aderhautmelanom

Aderhautmelanom
Leitthema

In Körperflüssigkeiten wurde zirkulierende Desoxyribonukleinsäure (DNA) bereits vor mehr als 75 Jahren beschrieben [ 19 ]. Aber erst durch die eindrucksvolle technische Weiterentwicklung im Bereich der Nukleinsäureanalyse in den letzten Jahren ist …

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Baerveldt® glaucoma implant surgery with the double scleral flap technique to prevent Hoffman elbow exposure

Abstract

Objective

Methods

Results

Conclusions

Weitere Artikel der Ausgabe 10/2017

One-year efficacy of adjunctive use of Ripasudil, a rho-kinase inhibitor, in patients with glaucoma inadequately controlled with maximum medical therapy

Mapping diurnal changes in choroidal, Haller’s and Sattler’s layer thickness using 3-dimensional 1060-nm optical coherence tomography

Characteristics of retinal vessels in surgically closed macular hole: an optical coherence tomography angiography study

Coats’ disease: not such a smooth ride

Minimally invasive glaucoma surgery. A practical guide. (2016) Editors: B. A. Francis, S R Sarkisian Jr., J C Tan. 236 pp. ISBN 978-1-62,623-156-6 e-ISBN 978-1-62,623-155-9 Thieme Publishers New York/Stuttgart

Photodynamic therapy in chronic central serous chorioretinopathy with subretinal fluid outside the fovea

Neu im Fachgebiet Augenheilkunde

Zirkulierende Tumorzellen bei uvealem Melanom

Elektrophysiologie in der Augenheilkunde

„Liquid biopsy“ bei Retinoblastom

Die „onkologische Spur“: zirkulierende Tumor-DNA beim Aderhautmelanom

Update Augenheilkunde

Springer Medizin

Abstract

Objective

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten