Comparison of anterior chamber flare among different glaucoma surgeries
Masaki Tanito,1,2 Kaoru Manabe,1 Mihoko Mochiji,1 Yasuyuki Takai,1 Yotaro Matsuoka21Department of Ophthalmology, Shimane University Faculty of Medicine, Izumo, Japan; 2Division of Ophthalmology, Matsue Red Cross Hospital, Matsue, JapanCorrespondence: Masaki TanitoDepartment of Ophthalmology, Shimane...
Guardado en:
| Autores principales: | , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Dove Medical Press
2019
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/715656e7e524499cae976bcbee58b0bb |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| Sumario: | Masaki Tanito,1,2 Kaoru Manabe,1 Mihoko Mochiji,1 Yasuyuki Takai,1 Yotaro Matsuoka21Department of Ophthalmology, Shimane University Faculty of Medicine, Izumo, Japan; 2Division of Ophthalmology, Matsue Red Cross Hospital, Matsue, JapanCorrespondence: Masaki TanitoDepartment of Ophthalmology, Shimane University Faculty of Medicine, 89-1 Enya-cho, Izumo, Shimane 693-8501, JapanTel +81 85 320 2284Fax +81 85 320 2278Email tanito-oph@umin.ac.jpPurpose: To compare postsurgical anterior chamber flare (ACF) among conventional (trabeculectomy, LEC) and novel (EX-PRESS Shunt, EXP) filtration surgeries and microhook ab interno trabeculotomy (μLOT), a novel minimally invasive glaucoma surgery (MIGS).Subjects and methods: This retrospective study included 125 primary open angle glaucoma eyes (89 consecutive subjects) treated with μLOT (n=38), LEC (n=12), or EXP (n=75). The intraocular pressure (IOP), numbers of antiglaucoma medication, and ACF at preoperatively and 2 weeks; 1, 3, and 6 months postoperatively were compared among the surgical groups using a mixed-effects regression model.Results: The postoperative IOP (p<0.0001) and medication use were significantly (p<0.0001) lower in the LEC and EXP groups than with μLOT for up to 6 months postoperatively. The ACF differed significantly (p=0.0004) among groups; the ACF was significantly higher (p=0.0097, post-hoc Student’s t-test) with μLOT (33.6±52.8 pc/msec) than the EXP (15.7±19.9 pc/msec) at 2 weeks and was significantly (p=0.0111, post-hoc t-test) lower with μLOT (7.9±2.0 pc/msec) than LEC (12.0±6.1 pc/msec) at 6 months.Conclusion: Considering our observation, although its clinical significance is unclear, not all MIGS are minimally invasive regarding early postsurgical inflammation.Keywords: anterior chamber flare, trabeculectomy, EX-PRESS shunt, microhook ab interno trabeculotomy, minimally invasive glaucoma surgery, MIGS |
|---|