Insertion of a Baerveldt Drainage Implant with Encircling Silicone Strip Resection in a Patient with Refractory Glaucoma after Vitrectomy: A Case Report

Masashi Sakamoto, Keisuke Yata, Izumi Yoshida, Asao Sakai and Takatoshi Maeno

Department of Ophthalmology, Toho University Sakura Medical Center, Japan

^*Correspondance to: Masashi Sakamoto 

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Abstract:

Background: A glaucoma drainage implant is a useful device for the treatment of refractory glaucoma, but it is difficult to secure the space for insertion of the plate of the device. Herein we report a case of refractory glaucoma with a preexisting silicone strip that was treated using a Baerveldt Drainage Implant (BGI).Case
Presentation: A 43-year-old man developed rhegmatogenous retinal detachment. He had undergone vitrectomy twice because of retinal redetachment after the first vitrectomy. At the last vitrectomy, encircling (silicone strip #220) was performed. Immediately after the vitrectomy, the Intraocular Pressure (IOP) increased up to 30 mmHg to 50 mmHg for about 2 weeks; nevertheless, administration of hypotensive drugs and laser iridectomy. We inserted a BGI via the pars plana with silicone strip resection. The IOP reduced below 20 mmHg for 14 months after the implant surgery with the administration of hypotensive drops.Conclusion: Insertion of a BGI via the pars plana with silicone band resection may be useful for refractory glaucoma after vitrectomy with a preexisting silicone strip.

Keywords:

Retinal detachment; Encircling; Baerveldt drainage implant

Cite the Article:

Sakamoto M, Yata K, Yoshida I, Sakai A, Maeno T. Insertion of a Baerveldt Drainage Implant with Encircling Silicone Strip Resection in a Patient with Refractory Glaucoma after Vitrectomy: A Case Report. Ann Clin Case Rep. 2019; 4: 1595.