%0 Journal Article
%T Treatment Outcomes Comparing the Paul and Baerveldt Glaucoma Implants After One Year of Follow-Up.
%A Berteloot S
%A Correia Barão R
%A Abegão Pinto L
%A Vandewalle E
%A Stalmans I
%A Lemmens S
%J J Glaucoma
%V 33
%N 8
%D 2024 Aug 1
%M 38700482
%F 2.29
%R 10.1097/IJG.0000000000002366
%X <B>CONCLUSIONS: </B>In reducing intraocular pressure (IOP), Paul (PGI) and Baerveldt (BGI) glaucoma implants are safe and effective in patients with glaucoma.<BR><B>OBJECTIVE: </B>To compare efficacy and safety profiles of the PGI and BGI in the treatment of medically uncontrolled glaucoma at 1 year of follow-up.<BR><B>METHODS: </B>Retrospective analysis of patients implanted with a PGI or BGI with a minimum of 12 months follow-up. The primary outcome was surgical success defined as IOP ≥6 and ≤18 mm Hg and at least 20% IOP reduction from baseline. Secondary outcomes included IOP measurements, number of medications, and complications.<BR><B>RESULTS: </B>Twenty-three patients implanted with PGI and 27 with BGI were included. At last visit (12 mo), mean IOP had decreased from 23.7 ± 6.9 to 0.1 ± 2.9 mm Hg in the PGI group versus 26 ± 7.3 to 10.4 ± 4.9 mm Hg with the BGI ( P < 0.001 for both comparisons). Overall qualified success rates were similar between groups (PGI 91% vs BGI 89%, P = 0.784). IOP was significantly lower in the PGI at week 1 and month 1 of follow-up versus the BGI (13.6 ± 6.1 vs 20.1 ± 7.4; 14.6±3.8 vs 21.2 ± 5.8 mm Hg; P < 0.002 for both) with a lower number of medications (1.57 ± 1.47 vs 2.52 ± 1.16 at mo 1, P = 0.015). Most complications were minor and similar in both groups.<BR><B>CONCLUSIONS: </B>Both PGI and BGI are safe and effective in reducing IOP in patients with glaucoma, with similar success rates.