Baerveldt® glaucoma implant surgery with the double scleral flap technique to prevent Hoffman elbow exposure
- 22.07.2017
- Glaucoma
Erschienen in:
- Verfasst von
- Naoki Tojo
- Tomoko Ueda-Consolvo
- Shuichiro Yanagisawa
- Atsushi Hayashi
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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