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Conventional trabeculectomy versus trabeculectomy with the Ex-PRESS(®) mini-glaucoma shunt: differences in postoperative interventions

PURPOSE: To compare the postoperative interventions and outcomes between conventional trabeculectomy and trabeculectomy with the Ex-PRESS(®) mini-glaucoma shunt device (Ex-Press). METHODS: This was a retrospective, comparative, single-facility study. We analyzed the cases of 108 glaucoma patients wh...

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Autores principales: Tojo, Naoki, Otsuka, Mitsuya, Hayashi, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892968/
https://www.ncbi.nlm.nih.gov/pubmed/29662301
http://dx.doi.org/10.2147/OPTH.S160342
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author Tojo, Naoki
Otsuka, Mitsuya
Hayashi, Atsushi
author_facet Tojo, Naoki
Otsuka, Mitsuya
Hayashi, Atsushi
author_sort Tojo, Naoki
collection PubMed
description PURPOSE: To compare the postoperative interventions and outcomes between conventional trabeculectomy and trabeculectomy with the Ex-PRESS(®) mini-glaucoma shunt device (Ex-Press). METHODS: This was a retrospective, comparative, single-facility study. We analyzed the cases of 108 glaucoma patients who underwent trabeculectomy and were followed for >1 year. Thirty-nine eyes underwent a conventional trabeculectomy (conventional group) and 69 eyes underwent a trabeculectomy with an Ex-Press (Ex-Press group). As evaluation items, we examined postoperative intraocular pressure (IOP), the surgical success rate, postoperative complications, the number of days to laser suture lysis, and needling. RESULTS: Trabeculectomy significantly decreased the patients’ IOP values from 27.8±7.9 to 11.1±3.9 mmHg in the conventional group (p<0.001) and from 27.7±9.2 to 11.5±3.7 mmHg in the Ex-Press group (p<0.001) after 1 year. The success rate was not significantly different between the groups. The timing of the first laser suture lysis was significantly sooner in the Ex-Press group, and the Ex-Press group showed significantly less choroidal detachment due to low IOP. CONCLUSION: Earlier laser suture lysis in patients whose trabeculectomy treatment includes an Ex-Press is required to obtain the outcomes comparable to those of conventional trabeculectomy.
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spelling pubmed-58929682018-04-16 Conventional trabeculectomy versus trabeculectomy with the Ex-PRESS(®) mini-glaucoma shunt: differences in postoperative interventions Tojo, Naoki Otsuka, Mitsuya Hayashi, Atsushi Clin Ophthalmol Original Research PURPOSE: To compare the postoperative interventions and outcomes between conventional trabeculectomy and trabeculectomy with the Ex-PRESS(®) mini-glaucoma shunt device (Ex-Press). METHODS: This was a retrospective, comparative, single-facility study. We analyzed the cases of 108 glaucoma patients who underwent trabeculectomy and were followed for >1 year. Thirty-nine eyes underwent a conventional trabeculectomy (conventional group) and 69 eyes underwent a trabeculectomy with an Ex-Press (Ex-Press group). As evaluation items, we examined postoperative intraocular pressure (IOP), the surgical success rate, postoperative complications, the number of days to laser suture lysis, and needling. RESULTS: Trabeculectomy significantly decreased the patients’ IOP values from 27.8±7.9 to 11.1±3.9 mmHg in the conventional group (p<0.001) and from 27.7±9.2 to 11.5±3.7 mmHg in the Ex-Press group (p<0.001) after 1 year. The success rate was not significantly different between the groups. The timing of the first laser suture lysis was significantly sooner in the Ex-Press group, and the Ex-Press group showed significantly less choroidal detachment due to low IOP. CONCLUSION: Earlier laser suture lysis in patients whose trabeculectomy treatment includes an Ex-Press is required to obtain the outcomes comparable to those of conventional trabeculectomy. Dove Medical Press 2018-04-03 /pmc/articles/PMC5892968/ /pubmed/29662301 http://dx.doi.org/10.2147/OPTH.S160342 Text en © 2018 Tojo et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Tojo, Naoki
Otsuka, Mitsuya
Hayashi, Atsushi
Conventional trabeculectomy versus trabeculectomy with the Ex-PRESS(®) mini-glaucoma shunt: differences in postoperative interventions
title Conventional trabeculectomy versus trabeculectomy with the Ex-PRESS(®) mini-glaucoma shunt: differences in postoperative interventions
title_full Conventional trabeculectomy versus trabeculectomy with the Ex-PRESS(®) mini-glaucoma shunt: differences in postoperative interventions
title_fullStr Conventional trabeculectomy versus trabeculectomy with the Ex-PRESS(®) mini-glaucoma shunt: differences in postoperative interventions
title_full_unstemmed Conventional trabeculectomy versus trabeculectomy with the Ex-PRESS(®) mini-glaucoma shunt: differences in postoperative interventions
title_short Conventional trabeculectomy versus trabeculectomy with the Ex-PRESS(®) mini-glaucoma shunt: differences in postoperative interventions
title_sort conventional trabeculectomy versus trabeculectomy with the ex-press(®) mini-glaucoma shunt: differences in postoperative interventions
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892968/
https://www.ncbi.nlm.nih.gov/pubmed/29662301
http://dx.doi.org/10.2147/OPTH.S160342
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