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Outcomes of Ahmed glaucoma valve and transscleral cyclophotocoagulation in neovascular glaucoma.

التفاصيل البيبلوغرافية
العنوان: Outcomes of Ahmed glaucoma valve and transscleral cyclophotocoagulation in neovascular glaucoma.
المؤلفون: Shalaby WS; Glaucoma Research Center, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA, USA; Department of Ophthalmology, Tanta Medical School, Tanta University, Tanta, Gharbia, Egypt., Ganjei AY; College of Medicine, Drexel University, Philadelphia, PA, USA., Wogu B; Department of Ophthalmology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA., Myers JS; Glaucoma Research Center, Wills Eye Hospital; Department of Ophthalmology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA., Moster MR; Glaucoma Research Center, Wills Eye Hospital; Department of Ophthalmology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA., Razeghinejad R; Glaucoma Research Center, Wills Eye Hospital; Department of Ophthalmology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA., Lee D; Glaucoma Research Center, Wills Eye Hospital; Department of Ophthalmology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA., Kolomeyer NN; Glaucoma Research Center, Wills Eye Hospital; Department of Ophthalmology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA., Eid TE; Department of Ophthalmology, Tanta Medical School, Tanta University, Tanta, Gharbia, Egypt., Katz LJ; Glaucoma Research Center, Wills Eye Hospital; Department of Ophthalmology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA., Shukla AG; Glaucoma Research Center, Wills Eye Hospital; Department of Ophthalmology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
المصدر: Indian journal of ophthalmology [Indian J Ophthalmol] 2022 Apr; Vol. 70 (4), pp. 1253-1259.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Medknow Publications Country of Publication: India NLM ID: 0405376 Publication Model: Print Cited Medium: Internet ISSN: 1998-3689 (Electronic) Linking ISSN: 03014738 NLM ISO Abbreviation: Indian J Ophthalmol Subsets: MEDLINE
أسماء مطبوعة: Publication: Mumbai : Medknow Publications
Original Publication: Bombay : All-India Ophthalmological Society
مواضيع طبية MeSH: Glaucoma*/surgery , Glaucoma Drainage Implants* , Glaucoma, Neovascular*/diagnosis , Glaucoma, Neovascular*/surgery, Follow-Up Studies ; Humans ; Intraocular Pressure ; Laser Coagulation ; Retrospective Studies ; Treatment Outcome
مستخلص: Purpose: To determine the outcomes of Ahmed glaucoma valve (AGV) and transscleral diode cyclophotocoagulation (CPC) in neovascular glaucoma (NVG).
Methods: This was a single-center retrospective comparative case series involving chart review of consecutive patients who underwent AGV or CPC for treatment of NVG and had ≥6 months of follow-up. Surgical failure at 6 months, defined as an IOP of >21 or <6 mm Hg with hypotony maculopathy after 1 month, progression to no light perception (NLP) vision, glaucoma reoperation, or removal of AGV were the main outcome measures.
Results: In total, 121 eyes of 121 patients were included (70 AGV and 51 CPC). Baseline demographics, visual acuity (VA), and intraocular pressure (IOP) were comparable between groups. At 6 months, failure was significantly higher in the CPC group than in the AGV group (43.1% vs. 17.1%, P = 0.020). Both groups had similar IOP and medication number at 6 months, but VA was significantly lower in the CPC group compared to the AGV group (2.4 ± 0.8 vs. 1.9 ± 1.0, P = 0.017). More CPC eyes required reoperation for glaucoma than AGV eyes (11.8% vs. 1.4%, P = 0.041). Multivariate regression analysis identified higher preoperative IOP (P = 0.001) and CPC surgery (P = 0.004) as independent predictors of surgical failure at 6 months. Age, sex, race, NVG etiology, bilaterality of the underlying retinal pathology, perioperative retina treatment, and prior or combined vitrectomy were not significant.
Conclusion: AGV and CPC had comparable IOP and medication reduction in NVG eyes at 6 months. CPC was more frequently associated with failure, reoperation for glaucoma, and worse visual outcomes. High preoperative IOP and CPC surgery independently predicted surgical failure.
Competing Interests: None
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فهرسة مساهمة: Keywords: Ahmed glaucoma valve; glaucoma surgery; neovascular glaucoma; transscleral cyclophotocoagulation; tube shunts
تواريخ الأحداث: Date Created: 20220325 Date Completed: 20220413 Latest Revision: 20220716
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9240564
DOI: 10.4103/ijo.IJO_2107_21
PMID: 35326027
قاعدة البيانات: MEDLINE
الوصف
تدمد:1998-3689
DOI:10.4103/ijo.IJO_2107_21