Scheduled Postoperative Ripcord Removal in Baerveldt 350 Implants
| Autor: | Selena J. An, Joanne C Wen, Anita P. Vin, Elizabeth Mathenge, Leon W. Herndon, Michael S. Quist |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Intraocular pressure Visual Acuity Glaucoma Intervention group Implant surgery law.invention Tonometry Ocular 03 medical and health sciences Postoperative Complications 0302 clinical medicine Quality of life Randomized controlled trial law medicine Humans Prospective Studies Glaucoma Drainage Implants Prospective cohort study Intraocular Pressure Aged Postoperative Care business.industry Suture Techniques Glaucoma drainage device medicine.disease Surgery Ophthalmology Treatment Outcome Quality of Life 030221 ophthalmology & optometry Female business Glaucoma Open-Angle 030217 neurology & neurosurgery |
| Zdroj: | Journal of Glaucoma. 28:165-171 |
| ISSN: | 1057-0829 |
| Popis: | PURPOSE Many surgeons remove the ripcord in the Baerveldt glaucoma drainage device to better control tube opening and intraocular pressure (IOP) lowering postoperatively. However, complications following Baerveldt implant surgery with or without ripcord removal are not well-characterized. We performed a prospective, randomized trial to test the hypothesis that scheduled ripcord removal decreases complications and final IOP. METHODS Eighty-one patients were enrolled and randomized to scheduled ripcord removal at postoperative week 3 or to observation. They were followed for 6 months, and outcomes were compared between the 2 groups. RESULTS Forty-four patients were randomized to scheduled ripcord removal and 37 to observation. The intervention group had a similar rate of total complications after ripcord removal (36% vs. 24%, P=0.24), a lower rate of tube fibrin obstruction (2.3% vs. 13.5%, P=0.05), and a larger decrease in the number of medications (1.3 vs. 0.49 fewer medications, P=0.01). The removal group's mean IOP decrease was 8.6 mm Hg and success rate was 59%, defined as 5 mm Hg |
| Databáze: | OpenAIRE |
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