Research Article

Vision Loss and Recovery after Baerveldt Aqueous Tube Shunt Implantation

Table 2

Descriptive characteristics of unexplained long-term vision loss among 247 eyes after Baerveldt tube shunt implantation.

VariableLong-term unexplained vision loss
Mild or moderate SevereTotalOthers
()()()()

Age, mean (SD), years75.8 (10.2)63.1 (24.1)71.6 (16.7)70.0 (14.5)
SexØ, number (%)
 Male5 (41.7)6 (100)11 (61.1%)114 (49.8)
 Female7 (58.3)07 (38.9%)115 (50.2)
Race/ethnicity, number (%)
 White10 (83.3)1 (16.7%)11 (61.1)89 (38.9)
 Asian1 (8.3)1 (16.7%)2 (11.1)36 (15.7)
 Hispanic1 (8.3)2 (33.3%)3 (16.7)42 (18.3)
 African American01 (16.7%)1 (5.6)28 (12.2)
 Others01 (16.7%)1 (5.6)34 (14.8)
Diagnosis, number (%)
 Primary open-angle glaucoma8 (66.7)4 (66.7)12 (66.7)136 (59.4)
 Chronic angle-closure glaucoma1 (8.3)01 (5.6)40 (17.5)
 Secondary open-angle glaucoma1 (8.3)01 (5.6)15 (6.6)
 Low-tension glaucoma0003 (1.3)
 Pseudoexfoliation glaucoma2 (16.7)02 (11.1)15 (6.6)
 Pigmentary glaucoma01 (16.7)1 (5.6)2 (0.9)
 Juvenile glaucoma01 (16.7)1 (5.6)17 (7.4)
 Plateau iris glaucoma0001 (0.4)
Preoperative Snellen visual acuity, median (range)20/70 (20/20 to 20/400)20/75 (20/50 to 20/200)20/75 (20/20 to 20/400)20/60 (20/15 to 20/4000)
Postoperative day 1 (POD1) Snellen visual acuity†‡, median (range)20/800 (20/70 to LP)20/400 (20/200 to LP)20/400 (20/70 to LP)20/200 (20/25 to HM)
Change in preoperative versus POD1 Snellen visual acuity†‡, mean lines Snellen VA (SD)5.8 ± 3.96.6 ± 4.26.1 ± 3.93.1 ± 3.6
Lens status, number (%)
 Phakic2 (16.7)3 (50)5 (27.8)53 (23.1)
 Pseudophakic10 (83.3)3 (50)13 (72.2)176 (76.9)
Preoperative intraocular pressure, mean (SD), mmHg22.7 ± 6.132 ± 13.525.8 ± 9.924.5 ± 8.0
Preoperative intraocular pressure
 <21, number (%)5 (41.7)2 (33.3)7 (38.0)84 (36.7)
 ≥21, number (%)7 (58.3)4 (66.7)11 (61.1)145 (63.3)
POD1 intraocular pressure, mean (SD), mmHg23.1 ± 12.220.7 ± 11.822.2 ± 11.720.2 ± 11.9
Change in preoperative versus POD1 intraocular pressure, mean (SD)0.2 ± 4.2−11.3 ± 20.7−4.1 ± 16.1−4.2 ± 13.6
Cup-to-disc ratio ()
 Mean (SD)0.9 ± 0.060.93 ± 0.060.91 ± 0.060.87 ± 0.13
Cup-to-disc ratio
 <0.9, number (%)3 (25)1 (16.7)4 (22.2)58 (27.2)
 ≥0.9, number (%)9 (75)5 (83.3)14 (77.8)155 (72.8)
Humphrey visual field mean deviation, mean (SD), dB () () () ()
−16.5 ± 7.0−16.8 ± 17.0−16.6 ± 8.3−15.1 ± 8.7
Humphrey visual field mean deviation, dB
 <−12, number (%)6 (66.7)1 (50)7 (63.6)95 (57.9)
 ≥−12, number (%)3 (33.3)1 (50)4 (36.4)69 (42.1)
Preoperative split fixation on visual fields, number (%) () () () ()
 Yes8 (80)3 (75)11 (78.6)84 (48.8)
 No2 (20)1 (25)3 (21.4)88 (51.2)
Location of quadrants with split fixation†‡, number
 Inferonasal43735
 Inferotemporal42633
 Superonasal63957
 Superotemporal52752
Quadrants with split fixation†‡, number (%)
 02 (20)1 (25)3 (21.4)88 (51.2)
 13 (30)03 (21.4)33 (19.2)
 22 (20)1 (25)3 (21.4)25 (14.5)
 300010 (5.8)
 43 (30)2 (50)5 (35.7)16 (9.3)
Postoperative choroidal effusions, number
 Yes00026 (11.4)
 No12 (100)6 (100)18 (100)203 (88.6)

† indicates variable met inclusion criteria for the model for snuff-out (severe unexplained permanent vision loss).
‡ indicates variable met inclusion criteria for the model for unexplained permanent vision loss (including mild-to-moderate and severe types).
Ø indicates variable was perfectly predictive of snuff-out.
indicates variable was perfectly predictive of unexplained permanent vision loss.
HM = hand motion visual acuity.
LP = light perception only visual acuity.