2014-22: The Baerveldt Implant. Corneal endothelial changes and tube position.
Implantation of the Baerveldt glaucoma drainage device is a common procedure for glaucoma management. A silicon tube is then put in the anterior chamber of the eye. Postoperative corneal endothelial changes, notably a reduction in endothelial cell count are quite common, sometimes leading to corneal decompensation requiring corneal transplant surgery. It is unclear to what extent tube position in the anterior chamber plays a role in the pathogenesis of the corneal changes. It will be determined what the effect of tube position in the anterior chamber is on the corneal endothelium.