Journal of Current Glaucoma Practice

Register      Login

VOLUME 8 , ISSUE 3 ( September-December, 2014 ) > List of Articles

Original Article

The Early Postoperative Complications of Two Different Tube Ligation Methods in Baerveldt Implant Surgery

Shuri Kawamorita, Teruhiko Hamanaka, Testurou Sakurai

Keywords : Glaucoma, Baerveldt, Tube ligation method, Absorbable ligation method, Nonabsorbable ligation method, Tube shunt surgery

Citation Information : Kawamorita S, Hamanaka T, Sakurai T. The Early Postoperative Complications of Two Different Tube Ligation Methods in Baerveldt Implant Surgery. J Curr Glaucoma Pract 2014; 8 (3):96-100.

DOI: 10.5005/jp-journals-10008-1170

License: CC BY-NC 4.0

Published Online: 00-12-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective: To investigate the early postoperative complications in two different tube ligation methods during the first 3 months in Baerveldt implant surgery. Participants: This study involved 157 eyes from 144 patients who underwent Baerveldt Implant Surgery at the Japanese Red Cross Medical Center, Tokyo, Japan. Methods: Pre- and postoperative intraocular pressure (IOP), combined surgery, postoperative time-point of tube ligation release, and postoperative complications in two different tube ligation methods [absorbable ligation method using 8-0 polyglactin suture (group A) and nonabsorbable ligation method using 7-0 nylon suture (group B)] were retrospectively reviewed. Results: After excluding eyes that had undergone combined trabeculectomy (26 eyes) and vitrectomy (2 eyes), eyes with previous tube surgery (22 eyes), and eyes that had undergone the stent method (1 eye), 30 of 28 patients in group A and 71 eyes of 71 patients in group B were found to fit the criteria of this study. The rate of successful surgical outcome was 80% in group A and 74.6% in group B (p = 0.705). During the 3 months postoperative, high IOP tended to occur more often in group B (67.6%) than in group A (46.7%) (p = 0.073), and ciliochoroidal detachment tended to occur more often in group A (10.0%) than group B (2.8%) (p = 0.154). Conclusion: The results of this study show that both ligation methods are effective, however, the selection of tube ligation method should be done in accordance with the different method-specific risks to which may occur.


PDF Share
  1. Moura Filho ER, Sit AJ. The use of nonabsorbable suture ligatures for glaucoma drainage devices. Arch Ophthalmol 2010 May;128(5):624-627.
  2. Rojanapongpun P, Ritch R. Clear corneal graft overlying the Seton tube to facilitate laser suture lysis. Am J Ophthalmol 1996 Sep;122(3):424-425.
  3. Poels MM, Niessen AG, de Waard PW, Lemij HG. Surgical outcomes of the Baerveldt glaucoma implant: differences between surgical techniques in the Rotterdam Eye hospital. J Glaucoma 2013 Jun-Jul;22(5):363-368.
  4. Price FW Jr, Whitson WE. Polypropylene ligatures as a means of controlling intraocular pressure with Molteno implants. Ophthalmic Surg 1989 Nov;20(11):781-783.
  5. Hamanaka T, Otora K, Ono K, Ishida N. Long-term results of non-valved glaucoma drainage implant surgery and glaucoma drainage implant combined with trabeculectomy. Indian J Ophthalmol 2014 Sep;62(9):911-916.
  6. Budenz DL, Scott IU, Nguyen QH, Feuer W, Singh K, Nicolela MT, Bueche M, Palmberg PF. Combined Baerveldt glaucoma drainage implant and trabeculectomy with mitomycin C for refractory glaucoma. J Glaucoma 2002 Oct;11(5):439-445.
  7. Heuer DK, Lloyd MA, Abrams DA, Baerveldt G, Minckler DS, Lee MB, Martone JF. Which is better? One or two? A randomized clinical trial of single-plate versus doubleplate Molteno implantation for glaucomas in aphakia and pseudophakia. Ophthalmology 1992 Oct;99(10):1512-1519.
  8. Allan EJ, Khaimi MA, Jones JM, Ding K, Skuta GL. Long-term efficacy of the Baerveldt 250 mm2 compared with the Baerveldt 350 mm2 implant. Ophthalmology 2015 Mar;122(3):486-493.
  9. Ceballos EM, Parrish RK 2nd, Schiffman JC. Outcome of Baerveldt glaucoma grainage implants for the treatment of uveitic glaucoma. Ophthalmology 2002 Dec;109(12):2256-2260.
  10. Da Mata A, Burk SE, Netland PA, Baltatzis S, Christen W, Foster CS. Management of uveitic glaucoma with Ahmed glaucoma valve implantation. Ophthalmology 1999 Nov;106(11):2168-2172.
  11. Park HY, Lee NY, Park CK. Risk factors of shallow anterior chamber other than hypotony after Ahmed glaucoma valve implant. J Glaucoma 2009 Jan;18(1):44-48.
  12. Gedde SJ, Herndon LW, Brandt JD, Budenz DL, Feuer WJ, Schiffman JC. Postoperative complications in the tube versus trabeculectomy (TVT) study during 5 years of follow-up. Am J Ophthalmol 2012 May;153(5):804-814.
  13. Budenz DL, Barton K, Feuer WJ, Schiffman J, Costa VP, Godfrey DG, Buys YM. Treatment outcomes in the Ahmed Baerveldt comparison study after 1 year of follow-up. Ophthalmology 2011 Mar;118(3):443-452.
  14. Seah SK, Gazzard G, Aung T. Intermediate-term Outcome of Baerveldt Glaucoma Implants in Asian Eyes. Ophthalmology 2003 May;110(3):888-894.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.