Combined pars plana glaucoma drainage device placement and vitrectomy using a vitrectomy sclerotomy site for tube placement: a case series
| Autor: | Enchi Kristina Chang, John B Miller, David Sola-Del Valle, Ta C. Chang, Marika Chachanidze, Sanchay Gupta |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pars plana
medicine.medical_specialty Intraocular pressure Efficacy genetic structures medicine.medical_treatment Pars plana glaucoma drainage device Glaucoma Vitrectomy Prosthesis Implantation Suture (anatomy) lcsh:Ophthalmology Ophthalmology Medicine Humans Glaucoma Drainage Implants Intraocular Pressure Retrospective Studies Glaucoma medication business.industry Pars plana vitrectomy General Medicine Ahmed drainage implant Glaucoma drainage device medicine.disease eye diseases medicine.anatomical_structure Treatment Outcome Baerveldt drainage implant lcsh:RE1-994 Tube placement sense organs Safety business Follow-Up Studies Research Article |
| Zdroj: | BMC Ophthalmology, Vol 21, Iss 1, Pp 1-14 (2021) BMC Ophthalmology |
| ISSN: | 1471-2415 |
| Popis: | Purpose The purpose of this study is to report the safety and efficacy of pars plana glaucoma drainage devices with pars plana vitrectomy using one of the vitrectomy sclerotomy sites for tube placement in patients with refractory glaucoma. Methods Retrospective case series of 28 eyes of 28 patients who underwent combined pars plana glaucoma drainage device and pars plana vitrectomy between November 2016 and September 2019 at Massachusetts Eye and Ear. Main outcome measures were intraocular pressure (IOP), glaucoma medication burden, best corrected visual acuity, and complications. Statistical tests were performed with R and included Kaplan-Meier analyses, Wilcoxon paired signed-rank tests, and Fisher tests. Results Mean IOP decreased from 22.8 mmHg to 11.8 mmHg at 1.5 years (p = 0.002), and mean medication burden decreased from 4.3 to 2.1 at 1.5 years (p = 0.004). Both IOP and medication burden were significantly lower at all follow-up time points. The probability of achieving 5 2 lines. Two eyes required subsequent pars plana vitrectomies for tube obstruction, and one eye had transient hypotony. Conclusions The results of pars plana glaucoma drainage device and pars plana vitrectomy using one of the vitrectomy sclerotomy sites for tube placement are promising, resulting in significant IOP and medication-burden reductions through postoperative year 1.5 without additional risk of postoperative complications. Inserting glaucoma drainage devices into an existing vitrectomy sclerotomy site may potentially save surgical time by obviating the need to create another sclerotomy for tube placement and suture one of the vitrectomy ports. |
| Databáze: | OpenAIRE |
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