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Tytuł pozycji:

Efficacy and safety of Ex-PRESS® mini shunt surgery versus trabeculectomy for neovascular glaucoma: a retrospective comparative study.

Tytuł :
Efficacy and safety of Ex-PRESS® mini shunt surgery versus trabeculectomy for neovascular glaucoma: a retrospective comparative study.
Autorzy :
Kawabata K; Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Shobayashi K; Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Iwao K; Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Takahashi E; Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Tanihara H; Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Inoue T; Department of Ophthalmology, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan. .
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Źródło :
BMC ophthalmology [BMC Ophthalmol] 2019 Mar 12; Vol. 19 (1), pp. 75. Date of Electronic Publication: 2019 Mar 12.
Typ publikacji :
Comparative Study; Journal Article
Język :
English
Imprint Name(s) :
Original Publication: London : BioMed Central, [2001-
MeSH Terms :
Glaucoma Drainage Implants*/adverse effects
Trabeculectomy*/adverse effects
Glaucoma, Neovascular/*surgery
Adult ; Aged ; Aged, 80 and over ; Female ; Glaucoma, Neovascular/physiopathology ; Humans ; Intraocular Pressure/physiology ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Postoperative Complications ; Proportional Hazards Models ; Retrospective Studies
References :
J Glaucoma. 2007 Jan;16(1):14-9. (PMID: 17224744)
Ophthalmology. 2007 Dec;114(12):2265-70. (PMID: 17466376)
Am J Ophthalmol. 2009 May;147(5):912-8, 918.e1. (PMID: 19195639)
Adv Ther. 2009 Mar;26(3):336-45. (PMID: 19337705)
J Glaucoma. 2009 Aug;18(6):443-7. (PMID: 19680051)
Am J Ophthalmol. 2011 Mar;151(3):507-13.e1. (PMID: 21236403)
Arch Ophthalmol. 2011 Feb;129(2):152-7. (PMID: 21320958)
Clin Ophthalmol. 2011;5:527-33. (PMID: 21607021)
Ophthalmic Surg Lasers Imaging. 2011 Nov-Dec;42(6):453-9. (PMID: 22074705)
Eye (Lond). 2012 May;26(5):703-10. (PMID: 22344189)
Jpn J Ophthalmol. 2012 Sep;56(5):464-9. (PMID: 22855023)
J Glaucoma. 2014 Jun-Jul;23(5):307-11. (PMID: 23377580)
Am J Ophthalmol. 2014 Feb;157(2):433-440.e3. (PMID: 24210765)
J Glaucoma. 2015 Oct-Nov;24(8):624-9. (PMID: 24247999)
Invest Ophthalmol Vis Sci. 2015 Jun;56(6):3541-8. (PMID: 26030108)
Clin Ophthalmol. 2015 Aug 18;9:1491-8. (PMID: 26316691)
PLoS One. 2015 Oct 01;10(10):e0139751. (PMID: 26427058)
Eur J Ophthalmol. 2016 Nov 4;26(6):575-580. (PMID: 26951529)
Clin Interv Aging. 2017 Apr 10;12:653-658. (PMID: 28435237)
J Glaucoma. 2017 Aug;26(8):687-693. (PMID: 28692597)
Ophthalmology. 1982 Oct;89(10):1181-7. (PMID: 6185899)
Ophthalmology. 1995 Jun;102(6):887-92; discussion 892-3. (PMID: 7777295)
Ophthalmology. 1993 Jun;100(6):897-902. (PMID: 8510903)
Ophthalmology. 1995 Jul;102(7):1107-18. (PMID: 9121760)
Grant Information :
28-16 Ministry of Health, Labour and Welfare
Contributed Indexing :
Keywords: Efficacy; Ex-press mini shunt; Neovascular glaucoma; Safety; Trabeculectomy
Entry Date(s) :
Date Created: 20190315 Date Completed: 20190415 Latest Revision: 20200225
Update Code :
20211105
PubMed Central ID :
PMC6416865
DOI :
10.1186/s12886-019-1083-4
PMID :
30866871
Czasopismo naukowe
Background: The objective of this study is to evaluate and compare the short-term efficacy and safety of Ex-PRESS® mini shunt surgery and trabeculectomy for neovascular glaucoma (NVG).
Methods: Patients with NVG who underwent Ex-PRESS® mini shunt surgery or trabeculectomy as a primary glaucoma surgery between March 2013 and October 2015 were included in the study, and their medical charts were retrospectively reviewed. The Ex-PRESS® and trabeculectomy groups included 14 eyes and 30 eyes, respectively. Surgical failure was defined by an intraocular pressure (IOP) of ≥21 mmHg (condition A) or ≥ 18 mmHg (condition B); Kaplan-Meier survival analyses and the multivariable Cox proportional hazards model were used to assess efficacies.
Results: Kaplan-Meier survival analyses indicated that the probabilities of success at 1 year for the Ex-PRESS® group were 25.7 and 31.8% based on complete and qualified success under condition A, respectively. The corresponding values for the trabeculectomy group were 47.8 and 69.3%, and there was a significant difference in qualified success with condition A (Fig. 1; P = 0.018), while there were no significant differences in the other criteria. Ex-PRESS® mini shunt surgery and higher intraocular pressure were independent prognostic factors using Cox proportional hazards model analyses in qualified success as in condition A (P = 0.012 and 0.0495, respectively). The occurrences of postsurgical hyphema and bleb leaks were significantly higher in the trabeculectomy group (P = 0.005 and 0.008, respectively).
Conclusion: During a 1 year follow-up, Ex-PRESS® mini shunt surgery was a less effective, but safer treatment for NVG compared with trabeculectomy.

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