Influence of glaucoma surgery on visual function

Autor: Francisco G. Junoy Montolio, Rogier P.H.M. Müskens, Nomdo M. Jansonius
Přispěvatelé: Perceptual and Cognitive Neuroscience (PCN)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Visual acuity
genetic structures
medicine.medical_treatment
Visual Acuity
Glaucoma
Baerveldt glaucoma implant
GRONINGEN LONGITUDINAL GLAUCOMA
0302 clinical medicine
perimetry
Interquartile range
Normal tension glaucoma
Glaucoma surgery
Trabeculectomy
INTRAOCULAR-PRESSURE REDUCTION
NORMAL-TENSION GLAUCOMA
glaucoma drainage device
trabeculectomy
General Medicine
Visual field
Treatment Outcome
Filtering Surgery
rate of progression
Original Article
medicine.symptom
medicine.medical_specialty
03 medical and health sciences
FIELD PROGRESSION
Ophthalmology
BASE-LINE CHARACTERISTICS
medicine
Humans
EYES
RATES
Intraocular Pressure
business.industry
Original Articles
medicine.disease
Confidence interval
eye diseases
030221 ophthalmology & optometry
sense organs
progression
IMPLANTATION
Visual Fields
TREATMENT OUTCOMES
business
030217 neurology & neurosurgery
Follow-Up Studies
Zdroj: Acta ophthalmologica, 97(2), 193-199. Wiley
Acta Ophthalmologica
ISSN: 1755-375X
Popis: Purpose To determine the cost (loss of visual function associated with the procedure) and benefit (long-term preservation of the visual field) of glaucoma surgery. Methods We included 100 patients who underwent glaucoma surgery (Baerveldt glaucoma implant [BGI], n = 61; trabeculectomy [TE], n = 39). Preoperatively, the median (interquartile range [IQR]) standard automated perimetry mean deviation (MD) was -12 (-16 to -6) dB. We analysed the change in visual acuity (BCVA) and MD due to the procedure and, in a subset with at least 5 years of perimetric follow-up both pre- and postoperatively (n = 20), the change in rate of progression (ROP; time rate of change in MD). For the surgery-induced change in ROP, we also performed a meta-analysis including the current and previously published studies. From the surgery-induced decrease in MD and change in ROP, we calculated the average postoperative duration needed for the benefit to surpass the cost. Results Mean (standard deviation) MD decline was 1.3 (2.7) and 1.0 (2.3) dB for BGI (p
Databáze: OpenAIRE
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