Comparison of complications after Ahmed versus Baerveldt implant in glaucoma patients:one year follow-up

• 作者: Arini Safira Nurul Akbar Emma Rusmayani Iwan Soebijantoro Muhammad Yoserizal Rini Sulastiwaty Sara Listyani Koentjoro Vira Wardhana Istiantoro Widya Artini Zeiras Eka Djamal
• 来源期刊: 国际眼科杂志:英文版
• 学科: 医学
• 关键词: Ahmed implant Baerveldt implant intraocular pressure success rate COMPLICATIONS
• 年，卷（期）: gjykzzywb_2020,（12）
• 页码范围: 1908-1914
• 页数: 7页
• 分类号: R779.6

摘要

AIM:To compare surgical results of the Ahmed and Baerveldt implant procedures in glaucoma patients at 1 y follow-up at Jakarta Eye Center(JEC)Eye Hospitals.METHODS:This cohort retrospective study was conducted on glaucoma patients aged≥18 y who had undergone Ahmed and Baerveldt implant surgery.Intraocular pressure(IOP),visual acuity,glaucoma medication,success rate,early and late postoperative complications,and the number of resurgeries were analyzed.RESULTS:A total of 351 eyes in the Ahmed group and 94 eyes in the Baerveldt group were included in this study.At 1 y follow-up,the mean IOP was found to be significantly lower in the Baerveldt group(13±4.47 mm Hg)compared to the Ahmed group(15.02±5.73 mm Hg;P=0.025).Glaucoma medication was required in both the Ahmed and Baerveldt groups(58.92%vs 71.67%).Comparable success rate was found in both groups.The Ahmed group revealed a complete and qualified success of 86.82%,and failure of 13.17%.Similarly,the Baerveldt group showed complete and qualified success in 87.75%and failure in 12.25%cases.In the Ahmed group,11.97%early complications,26.06%late complications and 9.97%resurgeries were observed.In comparison,in the Baerveldt group,23.40%early complications,30.95%late complications and 11.70%resurgeries were observed.CONCLUSION:Both groups of glaucoma implants show significant IOP reduction,however,the Baerveldt implant group demonstrates greater IOP reduction with more failure rates and complications than the Ahmed implant group.