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Published on: May 26, 2023
Baerveldt-350 with adjunctive goniotomy: Pilot results
Jacob A Kanter1,2, Saira Khanna1,3, Christos Theophanous1,4
1University of Chicago Department of Ophthalmology and Visual Science, Chicago, IL, USA.
Purpose:
To describe a previously unreported method for optimizing early intraocular pressure-lowering in non-valved aqueous shunt surgery, and to report pilot results from a case series.
Observations:
We report pilot results of 30 eyes that underwent Baerveldt-350 implantation with adjunctive goniotomy, in addition to 3 needle-puncture fenestrations, to enhance intraocular pressure lowering and facilitate higher steroid dosing before spontaneous ligature dissolution.
Conclusions And Importance:
In patients with open-angle glaucoma, goniotomy is a safe and effective procedure when performed in conjunction with non-valved glaucoma tube shunt implantation.

