Trabecular Surgery for Glaucoma - Glaucoma treatment - Trabectome
An Effective Approach to a Proven Therapy. Why the BAERVELDT ® Glaucoma Implant? Unique design...
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Transcript of An Effective Approach to a Proven Therapy. Why the BAERVELDT ® Glaucoma Implant? Unique design...
An Effective Approach to a Proven Therapy
Why the BAERVELDT® Glaucoma Implant?
• Unique design combines a large surface area implanted in a single quadrant. More surface area provides:
– More effective long-term IOP control1,2
– Increased drainage capacity2
– Potentially fewer postoperative anti-glaucoma medications1,2
Single-quadrant BAERVELDT® Glaucoma Implant May Provide:
• Easier implantation1
• Less trauma to periocular tissue than multiple quadrants2
• Minimal inflammation2
• Improved control of IOP as a result of minimizing inflammation2
Single Implant Surface Area (mm2)
1
3
1
4
The Advantages of the BAERVELDT® Glaucoma Implant
• Single-quadrant insertion1
• Technically easier surgery, requiring only one conjunctival incision compared to 2-quadrant implants1,2
– Reduced surgical time2
– Less trauma to periocular tissue2
The Advantages of the BAERVELDT® Glaucoma Implant
• Patented bleb control mechanism
– Fenestrations allow fibrotic tissue growth, ‘riveting’ bleb to sclera1,5,6
– Designed to control bleb height and volume1,6
– Secures the plate in place6
– Minimizes potential for ocular motility disturbances6
The Glaucoma Implant – Designed for Ideal Pars Plana Implantation
• Exclusive Hofmann Elbow directs the drainage tube for proper placement in the posterior chamber and eliminates the need for trimming or modification.
BAERVELDT® Pars Plana Glaucoma Implant – Designed for Clinical Success
• Excellent IOP control1
• Visual acuity remained the same or improved in 83% of patients (10 out of 12)7
• No reported cases of vitreous incarceration
Reference 8
An Implant Designed from the Surgeon’s Perspective
• Unique design with Hofmann Elbow facilitates proper placement in the posterior chamber
• Eliminates the need to trim or modify the drainage tube for insertion through the pars plana
• Eliminates concerns over potential straightening of the tube
The BAERVELDT® Glaucoma Implants – Effective Implant Designs
• Large surface area for effective IOP control1
• Low implant profile helps reduce complications1
• Single-quadrant insertion for installation with less trauma than double plate
• Fenestrations minimize bleb height and volume to reduce ocular motility disturbances1,5,6
BAERVELDT® Glaucoma Implant Surgical Technique
BAERVELDT® Glaucoma Implant Surgical Technique
BAERVELDT® Glaucoma Implant Surgical Technique
BAERVELDT® Glaucoma Implant Surgical Technique
BAERVELDT® Glaucoma Implant Surgical Technique
BAERVELDT® Glaucoma Implant Surgical Technique
References
1. Lloyd MA, Baerveldt G, Fellenbaum PS, et al. Intermediate-term results of a randomized clinical trial of the 350 - versus the 500 mm2 Baerveldt Implant. Ophthalmology. 1994;101:1456-64.
2. Fellenbaum PS, Sidoti P, Heuer DK, et al. Experience with the Baerveldt implant in young patients with complicated glaucomas. J Glaucoma. 1995;4:91-7.
3. Heuer DK, Lloyd MA, Abrams, DA, et al. Which is better? One or two? A randomized clinical trial of single-plate versus double-plate Molteno implantation for glaucomas in aphakia and pseudophakia. Ophthalmology. 1992;99:1512-19.
4. www.ahmedvalve.com/products/silicone/fp7.html. Accessed March 6, 2006.5. Data on file, Advanced Medical Optics, Inc.6. Hodkin MJ, Goldblatt WS, Burgoyne CF, et al. Early clinical experience with the Baerveldt
implant in complicated glaucomas. Am J Ophthalmol. 1995;120:32. 7. BAERVELDT glaucoma implant package insert, Advanced Medical Optics. 8. Luttrull JK, Avery RL. Pars plana implant and vitrectomy for treatment of neovascular
glaucoma. Retina. 1995;15:379-87.
BAERVELDT is a registered trademark of Advanced Medical Optics, Inc.