Combined scleral buckling and Baerveldt implantation was an effective surgical approach in treatment of coexisting glaucoma and retinal detachment, according to a study.
The retrospective, consecutive, interventional case series included 30 eyes of 30 patients who underwent surgery with a scleral buckle and Baerveldt implant (Abbott Medical Optics).
Patients were divided into two groups. Group 1 included 21 patients who underwent a staged approach with placement of the Baerveldt implant plate without intraocular tube insertion. Group 2 included nine patients who underwent a non-staged approach with complete placement of the Baerveldt implant and tube insertion with the scleral buckling procedure.
IOP control had a 90% success rate at 12 months and an 80% success rate at 24 months. Mean follow-up was 27.7 months.
Thirteen of the patients in group 1 needed second-stage tube insertion at a mean of 7 months postoperatively. Mean IOP of these eyes plus the eyes in group 2 decreased from 31.1 mm Hg to 12.7 mm Hg, which was statistically significant (P < .0001).
The mean number of glaucoma medication decreased from 2.9 to 1.2, which was statistically significant (P < .001).