Baerveldt-350 with adjunctive goniotomy: Pilot results

• DOI: 10.1016/j.ajoc.2023.101950
• Publication Date: 2023-11-03T23:39:28Z
• Authors: Jacob A. Kanter; Saira Khanna; Christos Theophanous; Zhuangjun Si; Mary Qiu
• Keywords: Non-valved glaucoma drainage device; Ophthalmology; 03 medical and health sciences; 0302 clinical medicine; Goniotomy; MIGS; Case Report; RE1-994; Open-angle glaucoma

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.