Assessing patient cosmetic satisfaction after glaucoma drainage device surgery for different patch grafts
| Autor: | Rizwan Malik, Faisal A. Almobarak, Saleh A. Al-Obeidan, Ohoud Owaidhah, Abeer Ahmad, Doaa S Milibari, Dalal Fatani |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Visual acuity genetic structures Glaucoma Personal Satisfaction Glaucoma valve Prosthesis Implantation Cornea 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Cosmetic satisfaction medicine Pericardium Humans 030212 general & internal medicine Glaucoma Drainage Implants Intraocular Pressure Aged Retrospective Studies Patch graft business.industry General Medicine Middle Aged medicine.disease eye diseases Sclera Surgery Ophthalmology Palpebral fissure medicine.anatomical_structure Patient Satisfaction Glaucoma drainage device lcsh:RE1-994 030221 ophthalmology & optometry Implant sense organs medicine.symptom business Research Article |
| Zdroj: | BMC Ophthalmology, Vol 21, Iss 1, Pp 1-9 (2021) BMC Ophthalmology |
| ISSN: | 1471-2415 |
| Popis: | Background The use of a tissue patch graft is common practice with a glaucoma drainage device (GDD). Patch grafts can be visible in the palpebral fissure and may be cosmetically displeasing for some patients. The aim of this study was to report the cosmetic satisfaction of pericardial, scleral, and corneal patch grafts related to superior GDD surgery. Methods Baseline clinical data were collected for consecutive patients with glaucoma operated between 2014 and 2019 at two tertiary eye care institutions (for superiorly-placed) Ahmad glaucoma valve implant using sclera, cornea and pericardium patch graft. A patient questionnaire that contained 4 concise questions, with a Likert-scale grading relating to cosmetic satisfaction was administered by a telephone-based interview. Responses and scores for each question were compared across patients who received the three different types of graft. A binominal logistic regression analysis was used to assess the effects of age, gender, type of graft, number of previous ocular surgeries, and final visual acuity to explain differences. Results We included 92 patients who met our inclusion criteria (24 patients received a corneal patch graft, 30 who received sclera and 38 who received pericardium). The mean (±SD) age was 50 (±17.5) years, and the average follow up was 20.7 (± 18.6) months. Regardless of the type of patch graft, most (67–84%) of patients were satisfied with the appearance of their eyes. Patients who received cornea or sclera were more likely to report that their eye looked ‘abnormal’ by others. Younger age was significantly associated with the response to this question. Conclusion Patients are generally satisfied with the appearance of their eye following GDD surgery with each of the patch grafts for superiorly-placed GDDs. Younger patients with cornea or sclera were more likely to report that their eyes looked abnormal. |
| Databáze: | OpenAIRE |
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