Phacoemulsification in patients with Baerveldt tube shunts

Jay C. Erie, Keith H. Baratz, Michael A. Mahr, Douglas H. Johnson

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Purpose: To investigate the effects of phacoemulsification in glaucomatous eyes with functioning Baerveldt tube shunts. Setting: Department of Ophthalmology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA. Methods: This retrospective analysis followed 9 eyes of 8 patients with functioning Baerveldt tube shunts who had clear corneal phacoemulsification. Intraocular pressure (IOP), number of glaucoma medications, corneal thickness, visual acuity, and additional glaucoma surgery were measured. Results: The mean follow-up was 21 months ± 3 (SD) (range 17 to 25 months). The mean change in IOP and the number of glaucoma medications used did not significantly change at 1 month (P>.19), 1 year (P>.17), or the last follow-up (P>.17). At the last examination, 2 eyes had IOP increases of 2 to 4 mm Hg, 3 eyes had no change, and 4 eyes had decreases of 4 to 7 mm Hg. Intraocular pressure increased in 1 eye at 8 months and required a tube shunt revision. No eye developed corneal decompensation. Visual acuity improved in 8 eyes; the mean improvement was 4 ± 3 Snellen lines. Conclusion: In most cases, phacoemulsification in glaucomatous eyes with a functioning Baerveldt tube shunt improved vision and maintained control of IOP.

Original languageEnglish (US)
Pages (from-to)1489-1491
Number of pages3
JournalJournal of Cataract and Refractive Surgery
Volume32
Issue number9
DOIs
StatePublished - Sep 1 2006

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ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems

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