Risk factors for tube exposure as a late complication of glaucoma drainage implant surgery

Meenakshi Chaku,1 Peter A Netland,2 Kyoko Ishida,3 Douglas J Rhee4 1Department of Ophthalmology, Loyola University Chicago, Maywood, IL, 2Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, VA, USA; 3Department of Ophthalmology, Toho University, Tokyo, Japan; 4D...

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Autores principales:	Chaku M, Netl, PA, Ishida K, Rhee DJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Glaucoma drainage implant complications Ahmed Glaucoma Valve Baerveldt implant tube erosion pericardial patch graft Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3c29aaf2fd064f2982b12085883416b4
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spelling	oai:doaj.org-article:3c29aaf2fd064f2982b12085883416b42021-12-02T07:30:16ZRisk factors for tube exposure as a late complication of glaucoma drainage implant surgery1177-5483https://doaj.org/article/3c29aaf2fd064f2982b12085883416b42016-03-01T00:00:00Zhttps://www.dovepress.com/risk-factors-for-tube-exposure-as-a-late-complication-of-glaucoma-drai-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Meenakshi Chaku,1 Peter A Netland,2 Kyoko Ishida,3 Douglas J Rhee4 1Department of Ophthalmology, Loyola University Chicago, Maywood, IL, 2Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, VA, USA; 3Department of Ophthalmology, Toho University, Tokyo, Japan; 4Department of Ophthalmology and Visual Sciences, Case Western Reserve University, Cleveland, OH, USA Purpose: The purpose of this study was to evaluate the risk factors for tube exposure after glaucoma drainage implant surgery.Patients and methods: This was a retrospective case-controlled observational study of 64 eyes from 64 patients. Thirty-two eyes of 32 patients with tube erosion requiring surgical revision were compared with 32 matched control eyes of 32 patients. Univariate and multivariate risk factor analyses were performed.Results: Mean age was significantly younger in the tube exposure group compared with the control group (48.2±28.1 years versus 67.3±18.0 years, respectively; P=0.003). The proportion of diabetic patients (12.5%) in the tube exposure group was significantly less (P=0.041) compared with the control group (37.5%). Comparisons of the type and position of the drainage implant were not significantly different between the two groups. The average time to tube exposure was 17.2±18.0 months after implantation of the drainage device. In both univariate and multivariate analyses, younger age (P=0.005 and P=0.027) and inflammation prior to tube exposure (P≤0.001 and P=0.004) were significant risk factors. Diabetes was a significant risk factor only in the univariate analysis (P=0.027).Conclusion: Younger age and inflammation were significant risk factors for tube exposure after drainage implant surgery. Keywords: glaucoma drainage implant complications, Ahmed Glaucoma Valve, Baerveldt implant, tube erosion, pericardial patch graftChaku MNetlPAIshida KRhee DJDove Medical PressarticleGlaucoma drainage implant complicationsAhmed Glaucoma ValveBaerveldt implanttube erosionpericardial patch graftOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 547-553 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Glaucoma drainage implant complications Ahmed Glaucoma Valve Baerveldt implant tube erosion pericardial patch graft Ophthalmology RE1-994
spellingShingle	Glaucoma drainage implant complications Ahmed Glaucoma Valve Baerveldt implant tube erosion pericardial patch graft Ophthalmology RE1-994 Chaku M Netl PA Ishida K Rhee DJ Risk factors for tube exposure as a late complication of glaucoma drainage implant surgery
description	Meenakshi Chaku,1 Peter A Netland,2 Kyoko Ishida,3 Douglas J Rhee4 1Department of Ophthalmology, Loyola University Chicago, Maywood, IL, 2Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, VA, USA; 3Department of Ophthalmology, Toho University, Tokyo, Japan; 4Department of Ophthalmology and Visual Sciences, Case Western Reserve University, Cleveland, OH, USA Purpose: The purpose of this study was to evaluate the risk factors for tube exposure after glaucoma drainage implant surgery.Patients and methods: This was a retrospective case-controlled observational study of 64 eyes from 64 patients. Thirty-two eyes of 32 patients with tube erosion requiring surgical revision were compared with 32 matched control eyes of 32 patients. Univariate and multivariate risk factor analyses were performed.Results: Mean age was significantly younger in the tube exposure group compared with the control group (48.2±28.1 years versus 67.3±18.0 years, respectively; P=0.003). The proportion of diabetic patients (12.5%) in the tube exposure group was significantly less (P=0.041) compared with the control group (37.5%). Comparisons of the type and position of the drainage implant were not significantly different between the two groups. The average time to tube exposure was 17.2±18.0 months after implantation of the drainage device. In both univariate and multivariate analyses, younger age (P=0.005 and P=0.027) and inflammation prior to tube exposure (P≤0.001 and P=0.004) were significant risk factors. Diabetes was a significant risk factor only in the univariate analysis (P=0.027).Conclusion: Younger age and inflammation were significant risk factors for tube exposure after drainage implant surgery. Keywords: glaucoma drainage implant complications, Ahmed Glaucoma Valve, Baerveldt implant, tube erosion, pericardial patch graft
format	article
author	Chaku M Netl PA Ishida K Rhee DJ
author_facet	Chaku M Netl PA Ishida K Rhee DJ
author_sort	Chaku M
title	Risk factors for tube exposure as a late complication of glaucoma drainage implant surgery
title_short	Risk factors for tube exposure as a late complication of glaucoma drainage implant surgery
title_full	Risk factors for tube exposure as a late complication of glaucoma drainage implant surgery
title_fullStr	Risk factors for tube exposure as a late complication of glaucoma drainage implant surgery
title_full_unstemmed	Risk factors for tube exposure as a late complication of glaucoma drainage implant surgery
title_sort	risk factors for tube exposure as a late complication of glaucoma drainage implant surgery
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/3c29aaf2fd064f2982b12085883416b4
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_version_	1718399394676473856

Risk factors for tube exposure as a late complication of glaucoma drainage implant surgery

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