Implantation of a second glaucoma drainage device
| العنوان: | Implantation of a second glaucoma drainage device |
|---|---|
| المؤلفون: | Brian A. Francis, Rodrigo Antonio Brant Fernandes, Vikas Chopra, Handan Akil, James C. Tan, Bruno Diniz, Alex S. Huang |
| المصدر: | Graefe's Archive for Clinical and Experimental Ophthalmology. 255:1019-1025 |
| بيانات النشر: | Springer Science and Business Media LLC, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Adult, Male, Intraocular pressure, medicine.medical_specialty, Time Factors, Visual acuity, genetic structures, Visual Acuity, Glaucoma, 03 medical and health sciences, Cellular and Molecular Neuroscience, 0302 clinical medicine, Ophthalmology, Humans, Medicine, In patient, Glaucoma Drainage Implants, Intraocular Pressure, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Medical record, Middle Aged, Glaucoma drainage device, medicine.disease, eye diseases, Sensory Systems, Surgery, Treatment Outcome, Postoperative visit, Filtering Surgery, 030221 ophthalmology & optometry, Female, sense organs, Implant, medicine.symptom, business, 030217 neurology & neurosurgery, Follow-Up Studies |
| الوصف: | To evaluate success rates in controlling intraocular pressure (IOP) after implantation of a second glaucoma drainage device (GDD) with a Baerveldt glaucoma implant in patients with refractory glaucoma, with a secondary aim of reducing the need for postoperative glaucoma medications. This retrospective, noncomparative, interventional study included patients undergoing a second GDD for uncontrolled glaucoma from a tertiary care glaucoma service. Data were obtained from the medical records for the preoperative period and after the 1st, 15th, and 30th day, 3, 6, and 12 months, and then yearly until the last postoperative visit. Visual acuity, IOP, and number of glaucoma medications (NGM) from the follow-up visits were compared to baseline. Success and failure criteria were analyzed based on IOP level or need of glaucoma medications. Forty-nine patients were studied, with a mean follow-up time of 25 ± 21 months. The mean preoperative IOP was 23.7 ± 8.2 mmHg, and decreased to 14.8 ± 4.0 mmHg after 1 year, 14.4 ± 3.9 mmHg after 2 years, and 16.6 ± 8.5 mmHg after 3 years. The mean preoperative NGM was 3.4 ± 1.3, and decreased to 2.0 ± 1.8 after 1 year, 2.5 ± 1.6 after 2 years, and 2.8 ± 2.0 after 3 years. Absolute success was 9% after 1 year for a postoperative IOP between 5 and 18 mmHg, and 76% for a postoperative IOP between 5 and 21 mmHg. The qualified success was 88% at the first and second years and 83% at the third year. With up to 3 years of follow-up, a second glaucoma drainage device was successful in reducing IOP to below 21 mmHg, but not as successful below 18 mmHg. The success rate is improved with the use of glaucoma medications with up to 3 years of follow-up. |
| تدمد: | 1435-702X 0721-832X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bd507a6bb971b56688a265834b0361e0Test https://doi.org/10.1007/s00417-017-3596-yTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....bd507a6bb971b56688a265834b0361e0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1435702X 0721832X |
|---|