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Graefe's Archive for Clinical and Experimental Ophthalmology

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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

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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.

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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

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Springer Medizin

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

Abstract

Objective

Methods

Results

Conclusions

Neu im Fachgebiet Augenheilkunde

Ophthalmika in der Schwangerschaft

Operative Therapie und Keimnachweis bei endogener Endophthalmitis

Bakterielle endogene Endophthalmitis

So erreichen Sie eine bestmögliche Wundheilung der Kornea

Update Augenheilkunde

Springer Medizin

Abstract

Objective

Methods

Results

Conclusions

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