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Evaluation of filtering blebs using the ‘Wuerzburg bleb classification score’ compared to clinical findings

BACKGROUND: To determine the agreement between intraocular pressure and the ‘Wuerzburg bleb classification score’, as well as between single items of the score and intraocular pressure. Interobserver variability was analyzed. METHODS: 57 post-trabeculectomy eyes were included. Colour photographs wer...

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Autores principales: Furrer, Sandra, Menke, Marcel N, Funk, Jens, Töteberg-Harms, Marc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3439283/
https://www.ncbi.nlm.nih.gov/pubmed/22805056
http://dx.doi.org/10.1186/1471-2415-12-24
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author Furrer, Sandra
Menke, Marcel N
Funk, Jens
Töteberg-Harms, Marc
author_facet Furrer, Sandra
Menke, Marcel N
Funk, Jens
Töteberg-Harms, Marc
author_sort Furrer, Sandra
collection PubMed
description BACKGROUND: To determine the agreement between intraocular pressure and the ‘Wuerzburg bleb classification score’, as well as between single items of the score and intraocular pressure. Interobserver variability was analyzed. METHODS: 57 post-trabeculectomy eyes were included. Colour photographs were used to score the filtering bleb in accordance to the Wuerzburg bleb classification score by two different examiners. At the same visit, clinical data such as intraocular pressure, best corrected visual acuity, slit lamp biomicroscopy and medical history were obtained by another examiner. RESULTS: After trabeculectomy, 42 out of 57 eyes (73.7%) reached the target pressure (≤21mmHg, and intraocular pressure reduction of at least 20%, without antiglaucoma medication, and without any additional intervention). Fair agreement was found between intraocular pressure and Wuerzburg bleb classification score ≥8 points and ≥7 points (kappa 0.24 and 0.27, respectively). Analyzing the subgroups of the morphological criteria, best agreement was found between occurrence of microcysts and target intraocular pressure (к 0.22 – 0.34). CONCLUSIONS: Evaluating filtering blebs after trabeculectomy by using the Wuerzburg bleb classification score is a good technique for predicting intraocular pressure control in eyes attaining a minimum score of seven points. The presence of microcysts on the filtering bleb predicts that the eye is likely to attain target pressure.
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spelling pubmed-34392832012-09-12 Evaluation of filtering blebs using the ‘Wuerzburg bleb classification score’ compared to clinical findings Furrer, Sandra Menke, Marcel N Funk, Jens Töteberg-Harms, Marc BMC Ophthalmol Research Article BACKGROUND: To determine the agreement between intraocular pressure and the ‘Wuerzburg bleb classification score’, as well as between single items of the score and intraocular pressure. Interobserver variability was analyzed. METHODS: 57 post-trabeculectomy eyes were included. Colour photographs were used to score the filtering bleb in accordance to the Wuerzburg bleb classification score by two different examiners. At the same visit, clinical data such as intraocular pressure, best corrected visual acuity, slit lamp biomicroscopy and medical history were obtained by another examiner. RESULTS: After trabeculectomy, 42 out of 57 eyes (73.7%) reached the target pressure (≤21mmHg, and intraocular pressure reduction of at least 20%, without antiglaucoma medication, and without any additional intervention). Fair agreement was found between intraocular pressure and Wuerzburg bleb classification score ≥8 points and ≥7 points (kappa 0.24 and 0.27, respectively). Analyzing the subgroups of the morphological criteria, best agreement was found between occurrence of microcysts and target intraocular pressure (к 0.22 – 0.34). CONCLUSIONS: Evaluating filtering blebs after trabeculectomy by using the Wuerzburg bleb classification score is a good technique for predicting intraocular pressure control in eyes attaining a minimum score of seven points. The presence of microcysts on the filtering bleb predicts that the eye is likely to attain target pressure. BioMed Central 2012-07-17 /pmc/articles/PMC3439283/ /pubmed/22805056 http://dx.doi.org/10.1186/1471-2415-12-24 Text en Copyright ©2012 Furrer et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Furrer, Sandra
Menke, Marcel N
Funk, Jens
Töteberg-Harms, Marc
Evaluation of filtering blebs using the ‘Wuerzburg bleb classification score’ compared to clinical findings
title Evaluation of filtering blebs using the ‘Wuerzburg bleb classification score’ compared to clinical findings
title_full Evaluation of filtering blebs using the ‘Wuerzburg bleb classification score’ compared to clinical findings
title_fullStr Evaluation of filtering blebs using the ‘Wuerzburg bleb classification score’ compared to clinical findings
title_full_unstemmed Evaluation of filtering blebs using the ‘Wuerzburg bleb classification score’ compared to clinical findings
title_short Evaluation of filtering blebs using the ‘Wuerzburg bleb classification score’ compared to clinical findings
title_sort evaluation of filtering blebs using the ‘wuerzburg bleb classification score’ compared to clinical findings
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3439283/
https://www.ncbi.nlm.nih.gov/pubmed/22805056
http://dx.doi.org/10.1186/1471-2415-12-24
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