Is a Day 1 postoperative review following ab interno Xen gel stent surgery for glaucoma needed?

Ayesha Karimi, Dan Lindfield Department of Ophthalmology, Royal Surrey County Hospital, Guildford, UK Purpose: To assess whether a first day review is needed following Xen surgery in glaucoma patients. Patients and methods: We performed a retrospective case note review of all Xen surgeries perform...

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Autores principales:	Karimi A, Lindfield D
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Ab interno MIGS gel stent open angle Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/2c139f6b35264d34abd53142370c6b93
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spelling	oai:doaj.org-article:2c139f6b35264d34abd53142370c6b932021-12-02T08:22:56ZIs a Day 1 postoperative review following ab interno Xen gel stent surgery for glaucoma needed?1177-5483https://doaj.org/article/2c139f6b35264d34abd53142370c6b932018-11-01T00:00:00Zhttps://www.dovepress.com/is-a-day-1-postoperative-review-following-ab-interno-xen-gel-stent-sur-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Ayesha Karimi, Dan Lindfield Department of Ophthalmology, Royal Surrey County Hospital, Guildford, UK Purpose: To assess whether a first day review is needed following Xen surgery in glaucoma patients. Patients and methods: We performed a retrospective case note review of all Xen surgeries performed across four centers between August 2015 and May 2017. Intraocular pressure (IOP), number of medications, complications, and all further procedures were recorded. Results: Two hundred and fifty-nine cases from 226 patients were analyzed, 78 of 259 cases (30.1%) had numerical hypotony (<6 mmHg) on Day 1, but 60 had resolved by Week 1. Zero cases of hypotony required intervention at Day 1. Two of 259 cases (0.8%) had transient IOP of ≥20 mmHg due to air bubble/iris blockage on Day 1 with one case (0.4%) requiring iris manipulation at the slit-lamp. One case (0.4%) required IOP lowering medications at Day 1. All other complications and interventions in our series occurred at 1 week or beyond. Day 1 IOP was not shown to be a reliable indicator for outcomes at Week 1 (r2=0.2155), Month 1 (r2=0.0574), or Month 12 (r2=0.1580). Conclusion: The presence of significant complications requiring intervention at Day 1 was 0%. Only one case (0.4%) required topical IOP lowering medication and one case (0.4%) needed stent manipulation at Day 1. Day 1 IOP is not a reliable indicator of long-term outcomes in Xen surgeries. Removing Day 1 follow-up would have been safe in our series and it may be more effective to perform the first postoperative review of Xen surgery at Week 1. Keywords: ab interno, MIGS, gel stent, open angleKarimi ALindfield DDove Medical PressarticleAb internoMIGSgel stentopen angleOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 2331-2335 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ab interno MIGS gel stent open angle Ophthalmology RE1-994
spellingShingle	Ab interno MIGS gel stent open angle Ophthalmology RE1-994 Karimi A Lindfield D Is a Day 1 postoperative review following ab interno Xen gel stent surgery for glaucoma needed?
description	Ayesha Karimi, Dan Lindfield Department of Ophthalmology, Royal Surrey County Hospital, Guildford, UK Purpose: To assess whether a first day review is needed following Xen surgery in glaucoma patients. Patients and methods: We performed a retrospective case note review of all Xen surgeries performed across four centers between August 2015 and May 2017. Intraocular pressure (IOP), number of medications, complications, and all further procedures were recorded. Results: Two hundred and fifty-nine cases from 226 patients were analyzed, 78 of 259 cases (30.1%) had numerical hypotony (<6 mmHg) on Day 1, but 60 had resolved by Week 1. Zero cases of hypotony required intervention at Day 1. Two of 259 cases (0.8%) had transient IOP of ≥20 mmHg due to air bubble/iris blockage on Day 1 with one case (0.4%) requiring iris manipulation at the slit-lamp. One case (0.4%) required IOP lowering medications at Day 1. All other complications and interventions in our series occurred at 1 week or beyond. Day 1 IOP was not shown to be a reliable indicator for outcomes at Week 1 (r2=0.2155), Month 1 (r2=0.0574), or Month 12 (r2=0.1580). Conclusion: The presence of significant complications requiring intervention at Day 1 was 0%. Only one case (0.4%) required topical IOP lowering medication and one case (0.4%) needed stent manipulation at Day 1. Day 1 IOP is not a reliable indicator of long-term outcomes in Xen surgeries. Removing Day 1 follow-up would have been safe in our series and it may be more effective to perform the first postoperative review of Xen surgery at Week 1. Keywords: ab interno, MIGS, gel stent, open angle
format	article
author	Karimi A Lindfield D
author_facet	Karimi A Lindfield D
author_sort	Karimi A
title	Is a Day 1 postoperative review following ab interno Xen gel stent surgery for glaucoma needed?
title_short	Is a Day 1 postoperative review following ab interno Xen gel stent surgery for glaucoma needed?
title_full	Is a Day 1 postoperative review following ab interno Xen gel stent surgery for glaucoma needed?
title_fullStr	Is a Day 1 postoperative review following ab interno Xen gel stent surgery for glaucoma needed?
title_full_unstemmed	Is a Day 1 postoperative review following ab interno Xen gel stent surgery for glaucoma needed?
title_sort	is a day 1 postoperative review following ab interno xen gel stent surgery for glaucoma needed?
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/2c139f6b35264d34abd53142370c6b93
work_keys_str_mv	AT karimia isaday1postoperativereviewfollowingabinternoxengelstentsurgeryforglaucomaneeded AT lindfieldd isaday1postoperativereviewfollowingabinternoxengelstentsurgeryforglaucomaneeded
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Is a Day 1 postoperative review following ab interno Xen gel stent surgery for glaucoma needed?

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