Baerveldt tube shunts with trabectome surgery in a matched comparison to Baerveldt tube shunts

摘要

Baerveldt Tube Shunts (B) Bypass the conventional outflow system Are used in advanced glaucoma Have a lower complication rate and a slightly higher success rate than trabeculectomy Often experience a hypertensive phase in the postoperative period Two IOP drops are typically needed to achieve IOP goal Trabectome Surgery (AIT) Has a nearly 20 fold lower complication rate than tubes Most commonly used in mild to moderate glaucoma Hypothesis Compared with B, combining B+AIT will reduce IOP and IOP drops while blunting the hypertensive phase. The visual acuity after B+AIT is worse than after B during the postoperative period. The safety profiles of B+AIT and B are similar. Conclusion B+AIT and B have a similar IOP. B+AIT require fewer drops at every time point than B. B+AIT and B have a similar visual acuity. AIT can be used as an adjunct to B to decrease the need for IOP lowering drops.