Glaucoma drainage implant surgery - An evidence-based update with relevance to Sub-Saharan Africa
Autor: | Ahmad A. Aref, Ardalan E Aminlari, Ingrid U. Scott |
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Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
Intraocular pressure Evidence-based practice Sub saharan genetic structures Glaucoma Drainage Implant Mitomycin medicine.medical_treatment Visual Acuity Glaucoma Trabeculectomy Glaucoma Drainage Device Glaucoma valve Tonometry Ocular Ophthalmology Symposium-Glaucoma in Sub-Saharan Africa medicine Humans Glaucoma Drainage Implants Africa South of the Sahara Intraocular Pressure Glaucoma drainage implant business.industry Ahmed Glaucoma Valve General Medicine medicine.disease eye diseases Surgery Baerveldt Glaucoma Implant Implant business |
Zdroj: | Middle East African Journal of Ophthalmology |
ISSN: | 0974-9233 |
DOI: | 10.4103/0974-9233.110607 |
Popis: | Glaucoma represents a leading cause of preventable vision loss in Sub-Saharan Africa. Recent studies evaluating outcomes of glaucoma drainage implant (GDI) surgery suggest an important role for this approach in the African patient population. The Tube Versus Trabeculectomy study demonstrated a higher success rate with non-valved GDI surgery compared to trabeculectomy with mitomycin C after five years. The Ahmed Baerveldt Comparison study showed no difference in surgical failure rates between the Ahmed Glaucoma Valve and the Baerveldt Glaucoma Implant (BGI) but better intraocular pressure outcomes with the BGI at one year. The Ahmed Versus Baerveldt study demonstrated a lower failure rate for the BGI, but also a requirement for more post-operative interventions. Further study of GDI surgery in the Sub-Saharan Africa is necessary to determine its optimal place in the treatment paradigm for glaucoma patients in the region. |
Databáze: | OpenAIRE |
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