ABSTRACT
AIM:To investigate the clinical efficacy of pars plana vitrectomy and Baerveldt glaucoma implant(PPV-BGI) in the treatment of refractory glaucoma.METHODS:One hundred twenty-nine refractory glaucoma patient's clinical data from March 2013 to December 2015 that underwent PPV-BGI were retrospectively reviewed.Among them,63 eyes were neovascular glaucoma (NVG) and 69 eyes were other types of glaucoma (non-NVG).The changes of intraocular pressure(lOP),surgical results,visual acuity (VA),the number of glaucoma medications,complications,and the success rate of surgery were analyzed.RESULTS:Cumulative success rates for the NVG group and non-NVG group were 46.0％ and 81.2％,respectively,within 1a after surgeries,the difference was significantly (P＜ 0.05).Preoperative lOP was 30.4 ± 10.2mmHg in the non-NVG group and 40.1±10.4mmHg in the NVG group,and lOP was reduced to 14.9±4.1mmHg in the non-NVG group and 17.8±4.9mmHg in the NVG,and the difference was significantly (P＜0.05).Number of glaucoma medications decreased from 2.7 ± 1.2 in the non-NVG group and 2.9 ± 1.4 in the NVG group preoperatively to 0.51 ±0.96 in the non-NVG group and 0.96±1.18 in the NVG group,and the difference was significantly (P＜0.05).Improvement in VA of in the NVG group and non-NVG group were observed in 14 eyes of 13 patients and 38 eyes and 37 patients respectively,and the difference was significantly (P＜0.05).The postoperative complications of 1d and 1a follow-up in NVG group was significantly higher than non-NVG group (P＜0.05).CONCLUSION:PPV-BGI is a viable surgical option for eyes with refractory glaucoma,but visual outcomes are frequently poor because of ocular comorbidities,especially in eyes with NVG.