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

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

Naoki Tojo, Mitsuya Otsuka, Atsushi Hayashi Department of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Japan Purpose: To compare the postoperative interventions and outcomes between conventional trabeculectomy and trabeculectomy with the Ex-...

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Autores principales: Tojo N, Otsuka M, Hayashi A
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2018
Materias:
Ex-Press
glaucoma
trabeculectomy
postoperative management
laser suture lysis
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/2dbe4ac922fb452aacca7e727c6ac806
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spelling oai:doaj.org-article:2dbe4ac922fb452aacca7e727c6ac8062021-12-02T05:38:01ZConventional trabeculectomy versus trabeculectomy with the Ex-PRESS® mini-glaucoma shunt: differences in postoperative interventions1177-5483https://doaj.org/article/2dbe4ac922fb452aacca7e727c6ac8062018-04-01T00:00:00Zhttps://www.dovepress.com/conventional-trabeculectomy-versus-trabeculectomy-with-the-ex-pressreg-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Naoki Tojo, Mitsuya Otsuka, Atsushi Hayashi Department of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Japan 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. Keywords: Ex-Press, glaucoma, trabeculectomy, postoperative management, laser suture lysisTojo NOtsuka MHayashi ADove Medical PressarticleEx-Pressglaucomatrabeculectomypostoperative managementlaser suture lysisOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 643-650 (2018)
institution DOAJ
collection DOAJ
language EN
topic Ex-Press
glaucoma
trabeculectomy
postoperative management
laser suture lysis
Ophthalmology
RE1-994
spellingShingle Ex-Press
glaucoma
trabeculectomy
postoperative management
laser suture lysis
Ophthalmology
RE1-994
Tojo N
Otsuka M
Hayashi A
Conventional trabeculectomy versus trabeculectomy with the Ex-PRESS® mini-glaucoma shunt: differences in postoperative interventions
description Naoki Tojo, Mitsuya Otsuka, Atsushi Hayashi Department of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Japan 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. Keywords: Ex-Press, glaucoma, trabeculectomy, postoperative management, laser suture lysis
format article
author Tojo N
Otsuka M
Hayashi A
author_facet Tojo N
Otsuka M
Hayashi A
author_sort Tojo N
title 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_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_sort conventional trabeculectomy versus trabeculectomy with the ex-press® mini-glaucoma shunt: differences in postoperative interventions
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/2dbe4ac922fb452aacca7e727c6ac806
work_keys_str_mv AT tojon conventionaltrabeculectomyversustrabeculectomywiththeexpressregminiglaucomashuntdifferencesinpostoperativeinterventions
AT otsukam conventionaltrabeculectomyversustrabeculectomywiththeexpressregminiglaucomashuntdifferencesinpostoperativeinterventions
AT hayashia conventionaltrabeculectomyversustrabeculectomywiththeexpressregminiglaucomashuntdifferencesinpostoperativeinterventions
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