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

  • Glaucoma
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

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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Authors and Affiliations

  1. Department of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan

    Naoki Tojo, Tomoko Ueda-Consolvo, Shuichiro Yanagisawa & Atsushi Hayashi

Authors
  1. Naoki Tojo
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  2. Tomoko Ueda-Consolvo
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  3. Shuichiro Yanagisawa
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  4. Atsushi Hayashi
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Corresponding author

Correspondence to Naoki Tojo.

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No funding was received for this research.

Conflict of interest

The authors declare that they have no conflicts of interest that are relevant to the content of this manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.

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Tojo, N., Ueda-Consolvo, T., Yanagisawa, S. et al. Baerveldt® glaucoma implant surgery with the double scleral flap technique to prevent Hoffman elbow exposure. Graefes Arch Clin Exp Ophthalmol 255, 2001–2008 (2017). https://doi.org/10.1007/s00417-017-3726-6

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  • DOI: https://doi.org/10.1007/s00417-017-3726-6

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