Baerveldt Implant for Refractory Postcontusion Glaucoma in Pediatric Patient

Muhammad Iqbal Sofyan, Virna Oktariana, Widya Artini

Department of Ophthalmology, Faculty of Medicine University of Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia

Purpose: To describe problem in management of refractory postcontusion glaucoma in pediatric patient, and to show a successful controlled intraocular pressure after Baerveldt implant surgery.

Method: A 12-years-old Indonesian boy with refractory postcontusion glaucoma had undergone three major ophthalmic surgeries in general anesthesia, and one needle revision of bleb in local anesthesia during 7 months of treatment. Due to IOP was not controlled yet, Baerveldt implant surgery then was decided.

Results: One-year follow-up after Baerveldt implant, the intraocular pressure is 11-18 mmHg without glaucoma medication. Unfortunately, the visual acuity had decreased to 2 meters counting fingers since some optic nerve damage had already occurred.

Conclusion: Postcontusion glaucoma in pediatric patient can be refractory to any glaucoma medication and conventional filtration surgery. Baerveldt implant seems to be effective treatment for that condition. Its primary use may be considered for selective cases to save patient's vision earlier and reduced the treatment costs.

Keywords: Baerveldt implant, postcontusion glaucoma, refractory, blunt trauma.