Baerveldt or Ahmed glaucoma valve implantation with pars plana tube insertion in Japanese eyes with neovascular glaucoma: 1-year outcomes

Masayo Suda, Hideo Nakanishi, Tadamichi Akagi, Tomoaki Murakami, Kiyoshi Suzuma, Kenji Suda, Takanori Kameda, Satoshi Morooka, Hanako Ohashi Ikeda, Akitaka Tsujikawa Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Sakyo-ku, Kyoto 606-8507, Japan Purpo...

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Autores principales:	Suda M, Nakanishi H, Akagi T, Murakami T, Suzuma K, Suda K, Kameda T, Morooka S, Ikeda HO, Tsujikawa A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	neovascular glaucoma Baerveldt Ahmed glaucoma drainage device pars plana tube insertion Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/8906bdead78f4c8185371cd1ab4f8fe1
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spelling	oai:doaj.org-article:8906bdead78f4c8185371cd1ab4f8fe12021-12-02T04:53:55ZBaerveldt or Ahmed glaucoma valve implantation with pars plana tube insertion in Japanese eyes with neovascular glaucoma: 1-year outcomes1177-5483https://doaj.org/article/8906bdead78f4c8185371cd1ab4f8fe12018-11-01T00:00:00Zhttps://www.dovepress.com/baerveldt-or-ahmed-glaucoma-valve-implantation-with-pars-plana-tube-in-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Masayo Suda, Hideo Nakanishi, Tadamichi Akagi, Tomoaki Murakami, Kiyoshi Suzuma, Kenji Suda, Takanori Kameda, Satoshi Morooka, Hanako Ohashi Ikeda, Akitaka Tsujikawa Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Sakyo-ku, Kyoto 606-8507, Japan Purpose: To describe the 1-year surgical outcomes of both Baerveldt glaucoma implant (BGI) and the Ahmed glaucoma valve (AGV) implant with pars plana tube insertion in Japanese eyes with neovascular glaucoma (NVG). Patients and methods: This was a retrospective study of 21 eyes of 18 patients who had undergone BGI (10 eyes) or AGV (11 eyes) implantation. The 1-year surgical outcomes in the two groups were compared. Surgical success was defined as an intraocular pressure (IOP) of 6–21 mmHg (criterion A) or 6–18 mmHg (criterion B) with >20% reduction regardless of the use of antiglaucoma medications. Results: The mean preoperative IOP was 33.9±6.6 mmHg in the BGI group and 30.9±5.3 mmHg in the AGV group (P=0.31). The IOP at 1-year was lower in the BGI group at 10.3±5.9 mmHg than in the AGV group at 14.8±3.3 mmHg (P=0.044). The mean number of glaucoma medications at 1 year was 1.0±1.3 in the BGI group and 1.4±1.4 in the AGV group (P=0.57). The incidence of postoperative complications during the 1-year follow-up was not statistically different between the two groups; however, one eye in the BGI group lost light perception after additional surgery for Hoffman elbow exposure. The 1-year success rates of the BGI group was 60.0% and that in the AGV group was 90.9% based on criterion A (P=0.095), and 50.0% and 81.8% based on criterion B (P=0.074). Conclusions: Significant reductions of the IOP and number of glaucoma medications were achieved at 1 year after both types of implants in Japanese eyes with NVG. Keywords: neovascular glaucoma, Baerveldt, Ahmed, glaucoma drainage device, pars plana tube insertionSuda MNakanishi HAkagi TMurakami TSuzuma KSuda KKameda TMorooka SIkeda HOTsujikawa ADove Medical Pressarticleneovascular glaucomaBaerveldtAhmedglaucoma drainage devicepars plana tube insertionOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 2439-2449 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	neovascular glaucoma Baerveldt Ahmed glaucoma drainage device pars plana tube insertion Ophthalmology RE1-994
spellingShingle	neovascular glaucoma Baerveldt Ahmed glaucoma drainage device pars plana tube insertion Ophthalmology RE1-994 Suda M Nakanishi H Akagi T Murakami T Suzuma K Suda K Kameda T Morooka S Ikeda HO Tsujikawa A Baerveldt or Ahmed glaucoma valve implantation with pars plana tube insertion in Japanese eyes with neovascular glaucoma: 1-year outcomes
description	Masayo Suda, Hideo Nakanishi, Tadamichi Akagi, Tomoaki Murakami, Kiyoshi Suzuma, Kenji Suda, Takanori Kameda, Satoshi Morooka, Hanako Ohashi Ikeda, Akitaka Tsujikawa Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Sakyo-ku, Kyoto 606-8507, Japan Purpose: To describe the 1-year surgical outcomes of both Baerveldt glaucoma implant (BGI) and the Ahmed glaucoma valve (AGV) implant with pars plana tube insertion in Japanese eyes with neovascular glaucoma (NVG). Patients and methods: This was a retrospective study of 21 eyes of 18 patients who had undergone BGI (10 eyes) or AGV (11 eyes) implantation. The 1-year surgical outcomes in the two groups were compared. Surgical success was defined as an intraocular pressure (IOP) of 6–21 mmHg (criterion A) or 6–18 mmHg (criterion B) with >20% reduction regardless of the use of antiglaucoma medications. Results: The mean preoperative IOP was 33.9±6.6 mmHg in the BGI group and 30.9±5.3 mmHg in the AGV group (P=0.31). The IOP at 1-year was lower in the BGI group at 10.3±5.9 mmHg than in the AGV group at 14.8±3.3 mmHg (P=0.044). The mean number of glaucoma medications at 1 year was 1.0±1.3 in the BGI group and 1.4±1.4 in the AGV group (P=0.57). The incidence of postoperative complications during the 1-year follow-up was not statistically different between the two groups; however, one eye in the BGI group lost light perception after additional surgery for Hoffman elbow exposure. The 1-year success rates of the BGI group was 60.0% and that in the AGV group was 90.9% based on criterion A (P=0.095), and 50.0% and 81.8% based on criterion B (P=0.074). Conclusions: Significant reductions of the IOP and number of glaucoma medications were achieved at 1 year after both types of implants in Japanese eyes with NVG. Keywords: neovascular glaucoma, Baerveldt, Ahmed, glaucoma drainage device, pars plana tube insertion
format	article
author	Suda M Nakanishi H Akagi T Murakami T Suzuma K Suda K Kameda T Morooka S Ikeda HO Tsujikawa A
author_facet	Suda M Nakanishi H Akagi T Murakami T Suzuma K Suda K Kameda T Morooka S Ikeda HO Tsujikawa A
author_sort	Suda M
title	Baerveldt or Ahmed glaucoma valve implantation with pars plana tube insertion in Japanese eyes with neovascular glaucoma: 1-year outcomes
title_short	Baerveldt or Ahmed glaucoma valve implantation with pars plana tube insertion in Japanese eyes with neovascular glaucoma: 1-year outcomes
title_full	Baerveldt or Ahmed glaucoma valve implantation with pars plana tube insertion in Japanese eyes with neovascular glaucoma: 1-year outcomes
title_fullStr	Baerveldt or Ahmed glaucoma valve implantation with pars plana tube insertion in Japanese eyes with neovascular glaucoma: 1-year outcomes
title_full_unstemmed	Baerveldt or Ahmed glaucoma valve implantation with pars plana tube insertion in Japanese eyes with neovascular glaucoma: 1-year outcomes
title_sort	baerveldt or ahmed glaucoma valve implantation with pars plana tube insertion in japanese eyes with neovascular glaucoma: 1-year outcomes
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/8906bdead78f4c8185371cd1ab4f8fe1
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Baerveldt or Ahmed glaucoma valve implantation with pars plana tube insertion in Japanese eyes with neovascular glaucoma: 1-year outcomes

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