Baerveldt-350 with adjunctive goniotomy: Pilot results

Jacob A Kanter; Saira Khanna; Christos Theophanous; Zhuangjun Si; Mary Qiu

doi:10.1016/j.ajoc.2023.101950

Baerveldt-350 with adjunctive goniotomy: Pilot results

Am J Ophthalmol Case Rep. 2023 Nov 4:32:101950. doi: 10.1016/j.ajoc.2023.101950. eCollection 2023 Dec.

Authors

Jacob A Kanter^{1

2}, Saira Khanna^{1

3}, Christos Theophanous^{1

4}, Zhuangjun Si^{1

5}, Mary Qiu¹

Affiliations

¹ University of Chicago Department of Ophthalmology and Visual Science, Chicago, IL, USA.
² Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA.
³ The Retina Institute, St. Louis, MO, USA.
⁴ Palo Alto Foundation Medical Group, Palo Alto, CA, USA.
⁵ Duke University Department of Ophthalmology, Durham, NC, USA.

Abstract

Purpose: To describe a previously unreported method for optimizing early intraocular pressure-lowering in non-valved aqueous shunt surgery, and to report pilot results from a case series.

Observations: We report pilot results of 30 eyes that underwent Baerveldt-350 implantation with adjunctive goniotomy, in addition to 3 needle-puncture fenestrations, to enhance intraocular pressure lowering and facilitate higher steroid dosing before spontaneous ligature dissolution.

Conclusions and importance: In patients with open-angle glaucoma, goniotomy is a safe and effective procedure when performed in conjunction with non-valved glaucoma tube shunt implantation.

Keywords: Goniotomy; MIGS; Non-valved glaucoma drainage device; Open-angle glaucoma.

Publication types

Case Reports