Evidence map›Paper›PMID 25439606›Full record

Trial reportOphthalmology2015

Five-year treatment outcomes in the Ahmed Baerveldt comparison study.

Donald L Budenz, Keith Barton, Steven J Gedde, William J Feuer, Joyce Schiffman, Vital P Costa, David G Godfrey, Yvonne M Buys, Ahmed Baerveldt Comparison Study Group

2 registry-linked trialsAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 137 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
137citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00376363 nacompletednot on this map

Ahmed Versus Baerveldt Comparison Study

TypeinterventionalSponsorUniversity of MiamiRan2005 to 2014Enrolled276ConditionsGlaucomaArmsAhmed implant, Baerveldt implant
NCT02691455 naterminatednot on this mapstarted 2016, after this paper: background citation

The AGS Second Aqueous Shunt Implant vs. Transscleral Cyclophotocoagulation Treatment Study

TypeinterventionalSponsorRobert FeldmanRan2016 to 2020Enrolled50ConditionsGlaucomaArmsBaerveldt Glaucoma Implant 350-mm2 / BG101-350, Transscleral Diode Laser Cyclophotocoagulation, Ahmed Model FP7 Flexible Plate, Baerveldt Glaucoma Implant 250-mm2 / BG103-250
3 · Its place in the literature

Who cites it

137 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Ahmed and baerveldt in glaucoma surgery: what is the safest choice? - a systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Pooled it
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  4. Aqueous shunts for glaucoma.The Cochrane database of systematic reviews · 2017
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  15. Comparative efficacy of glaucoma drainage device versus ab-interno trabeculotomy in vitrectomized eyes with secondary glaucoma.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  16. First-in-human implantation of a self-adjustable glaucoma drainage device (eyeValve): safety and performance in blind eyes.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
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77 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Donald L BudenzDepartment of Ophthalmology, University of North Carolina, Chapel Hill, North Carolina. Electronic address: dbudenz@med.unc.edu.
Keith BartonNational Institute for Health Research Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital, London, United Kingdom; Division of Epidemiology and Genetics, Institute of Ophthalmology, University College London, United Kingdom.
Steven J GeddeBascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida.
William J FeuerBascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida.
Joyce SchiffmanBascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida.
Vital P CostaDepartment of Ophthalmology, University of Campinas, São Paulo, Brazil.
David G GodfreyGlaucoma Associates of Texas, Dallas, Texas.
Yvonne M BuysDepartment of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.
Ahmed Baerveldt Comparison Study Group

Funding

Shared Equipment ModuleP30EY014801 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Dmitry V Ivanov · 2004 to 2026
$12.2M
NEI NIH HHS P30 EY014801
6 · The paper itself

Abstract

purposeTo compare the 5-year outcomes of the Ahmed FP7 Glaucoma Valve (AGV) (New World Medical, Cucamonga, CA) and the Baerveldt 101-350 Glaucoma Implant (BGI) (Abbott Medical Optics, Abbott Park, IL) for the treatment of refractory glaucoma.

designMulticenter, randomized, controlled clinical trial.

participantsA total of 276 patients, including 143 in the AGV group and 133 in the BGI group.

methodsPatients aged 18 to 85 years with previous intraocular surgery or refractory glaucoma and intraocular pressure (IOP) of ≥18 mmHg in whom glaucoma drainage implant (GDI) surgery was planned were randomized to implantation of an AGV or a BGI.

main outcome measuresSurgical failure, IOP, visual acuity (VA), use of glaucoma medications, and complications.

resultsAt 5 years, IOP (mean ± standard deviation [SD]) was 14.7±4.4 mmHg in the AGV group and 12.7±4.5 mmHg in the BGI group (P = 0.015). The number of glaucoma medications in use at 5 years (mean ± SD) was 2.2±1.4 in the AGV group and 1.8±1.5 in the BGI group (P = 0.28). The cumulative probability of failure during 5 years of follow-up was 44.7% in the AGV group and 39.4% in the BGI group (P = 0.65). The number of subjects failing because of inadequately controlled IOP or reoperation for glaucoma was 46 in the AGV group (80% of AGV failures) and 25 in the BGI group (53% of BGI failures; P = 0.003). Eleven eyes in the AGV group (20% of AGV failures) experienced persistent hypotony, explantation of implant, or loss of light perception compared with 22 eyes (47% of failures) in the BGI group. Change in logarithm of the minimum angle of resolution VA (mean ± SD) at 5 years was 0.42±0.99 in the AGV group and 0.43±0.84 in the BGI group (P = 0.97).

conclusionsSimilar rates of surgical success were observed with both implants at 5 years. The BGI produced greater IOP reduction and a lower rate of glaucoma reoperation than the AGV, but the BGI was associated with twice as many failures because of safety issues.

Indexed as

Glaucoma Drainage ImplantsAdolescentAdultAgedAged, 80 and overAntihypertensive AgentsFemaleGlaucomaHumansIntraocular PressureIntraoperative ComplicationsMaleMiddle AgedPostoperative ComplicationsProsthesis ImplantationReoperationAntihypertensive Agents

Identifiers

PMID25439606
PMCPMC4306613

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.