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Primary Baerveldt versus trabeculectomy study after one-year follow-up
Esma Islamaj1, René J Wubbels1, Peter W T de Waard2
1Rotterdam Ophthalmic Institute, Rotterdam, the Netherlands.
Acta Ophthalmologica
|July 20, 2018
Summary
Trabeculectomy (TE) and Baerveldt glaucoma drainage devices (BGI) show similar intraocular pressure (IOP) and failure rates after one year. However, TE requires less medication and has fewer complications like diplopia.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
Background:
- Glaucoma management often requires surgical intervention to lower intraocular pressure (IOP).
- Two common surgical options include trabeculectomy (TE) and Baerveldt glaucoma drainage devices (BGI).
Purpose of the Study:
- To compare the efficacy and safety of Baerveldt implants versus trabeculectomy in glaucoma patients.
- To evaluate intraocular pressure (IOP) control, failure rates, medication needs, and complications at one year post-surgery.
Main Methods:
- A randomized comparative study involving 119 glaucoma patients without prior ocular surgery.
- One eye per patient was randomized to either BGI or TE.
- Follow-up assessments were conducted at multiple intervals up to one year.
Main Results:
- One-year post-surgery, both TE and BGI achieved similar final intraocular pressure (IOP) levels (13-14 mmHg).
- No significant difference in failure rates was observed between the two groups.
- The BGI group required significantly more medication for IOP reduction and experienced a higher incidence of diplopia.
Conclusions:
- Trabeculectomy demonstrates superior outcomes compared to Baerveldt implants at one year.
- While IOP and failure rates are comparable, TE offers advantages in reduced medication requirements and lower complication rates, notably diplopia.
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