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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-10-2017 | Glaucoma

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

Authors: Naoki Tojo, Tomoko Ueda-Consolvo, Shuichiro Yanagisawa, Atsushi Hayashi

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 10/2017

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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Title: Baerveldt® glaucoma implant surgery with the double scleral flap technique to prevent Hoffman elbow exposure
Authors: Naoki Tojo
Tomoko Ueda-Consolvo
Shuichiro Yanagisawa
Atsushi Hayashi
Publication date: 01-10-2017
Publisher: Springer Berlin Heidelberg
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 10/2017
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-017-3726-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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