The probe suggests further glaucoma country was required much often aft trabeculectomy than aft Baerveldt glaucoma implant surgery.
Baerveldt glaucoma implant country had a higher occurrence complaint than trabeculectomy successful patients with neovascular glaucoma, portion the rates of posopterative complications were akin betwixt some surgical procedures, according to caller research.
Additional glaucoma country was much often required aft trabeculatectomy than aft Baerveldt glaucoma implant surgery, according to the data.
Led by Masaru Inatani, MD, PhD, Department of Ophthalmology and Visual Science, Kumamoto University Graduate School of Medical Sciences, the investigators acceptable retired to comparison the surgical outcomes betwixt Baerveldt glaucoma implant country and traveculectomy with mitomycin C for the diligent population.
The retrospective objective cohort survey astatine 5 objective centers successful Japan recruited patients treated with trabeculectomy oregon Baerveldt glaucoma implant for neovascular glaucoma betwixt April 2012 and December 2019. Inclusion criteria were property ≥20 years and having neovascular glaucoma and exclusion criteria were eyes with nary airy cognition imaginativeness and with erstwhile tube-shunt surgery.
They noted that if some eyes successful the aforesaid diligent satisfied the inclusion criteria, eyes treated archetypal were investigated. The survey included 100 eyes undergoing Baerveldt glaucoma implant country and 204 eyes undergoing trabeculectomy.
Primary outcomes for the survey was surgical occurrence oregon failure, with nonaccomplishment being defined according to 3 criteria: <20% simplification of the preoperative intraocular unit (IOP) oregon criterion A (IOP >21 mmHg), criterion B (IOP >17 mmHg), oregon criterion C (IOP >14 mmHg). Other failures identified were causes of reoperation, a nonaccomplishment of airy cognition vision, oregon hypotony.
Results amusement the probability of occurrence was importantly higher successful patients undergoing Baerveldt glaucoma implant country than successful those receiving trabeculatomy for criteria A (P <.01) and B (P = .01).
Trabeculatomy was importantly associated with surgical nonaccomplishment successful the multivariable investigation for criterion A (hazard ratio [HR], 1.70) and criterion B (HR, 1.50). The wide incidence of postoperative complications was akin betwixt the 2 groups.
Moreover, reoperations were required importantly much often successful the travecultomy radical than successful the Baerveldt glaucoma implant country radical (20.1% vs. 5.0%; P <.01), according to the investigators.
The abstract, “Comparing Surgical Outcomes successful Neovascular Glaucoma betwixt Tube and Trabeculectomy: A Multicenter Study,” was published successful Ophthalmology Glaucoma.
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