Quality of life following glaucoma surgery: canaloplasty versus trabeculectomy

Thomas Klink,1 Johannes Sauer,1 Norbert J Körber,2 Franz Grehn,1 Martin M Much,1 Luisa Thederan,1 Juliane Matlach,1 Josefina Parente Salgado11Department of Ophthalmology, University of Würzburg, Würzburg, Germany; 2Augencentrum Köln-Porz, Köln, GermanyPu...

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Autores principales:	Klink T, Sauer J, Körber NJ, Grehn F, Much MM, Thederan L, Matlach J, Salgado JP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/dfd8f71489194dec8abb894c9fd23f02
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spelling	oai:doaj.org-article:dfd8f71489194dec8abb894c9fd23f022021-12-02T07:34:07ZQuality of life following glaucoma surgery: canaloplasty versus trabeculectomy1177-5483https://doaj.org/article/dfd8f71489194dec8abb894c9fd23f022014-12-01T00:00:00Zhttp://www.dovepress.com/quality-of-life-following-glaucoma-surgery-canaloplasty-versus-trabecu-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Thomas Klink,1 Johannes Sauer,1 Norbert J Körber,2 Franz Grehn,1 Martin M Much,1 Luisa Thederan,1 Juliane Matlach,1 Josefina Parente Salgado11Department of Ophthalmology, University of Würzburg, Würzburg, Germany; 2Augencentrum Köln-Porz, Köln, GermanyPurpose: To evaluate quality of life (QoL) with a new questionnaire after canaloplasty (CP) and trabeculectomy (TE).Patients and methods: We assessed outcomes of surgery, rate of revision surgeries, patients’ mood, and influence of postoperative care on QoL, surgery interference with daily activities, and postsurgical complaints. Patients completed the QoL questionnaire 24 months after surgery. Results: Patients who underwent CP (n=175) were compared to TE patients (n=152). In the CP group, 57% of patients expressed high satisfaction, while 41% of patients in the TE group said they were highly satisfied. The satisfaction difference was statistically significant (P=0.034). Significantly fewer second surgeries were needed after CP (8% CP versus 35% TE, P<0.001). Patients were more positive in the CP group (54% CP versus 37% TE, P<0.009). Stress related to postoperative care was lower in the CP group compared to the TE group (14% versus 46%). Difficulties with activities of daily living, such as reading, were much lower or even nonexistent after CP, and complaints like eye burning or stinging were significantly lower in the CP group. Conclusions: Compared with TE, CP is associated with less QoL impairment and higher patient satisfaction after surgery. However, long-term data on intraocular pressure reduction after surgery are needed to confirm long-term patient satisfaction with this surgery.Keywords: glaucoma, postoperative care, glaucoma surgery, non-penetrating glaucoma surgeryKlink TSauer JKörber NJGrehn FMuch MMThederan LMatlach JSalgado JPDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 7-16 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Klink T Sauer J Körber NJ Grehn F Much MM Thederan L Matlach J Salgado JP Quality of life following glaucoma surgery: canaloplasty versus trabeculectomy
description	Thomas Klink,1 Johannes Sauer,1 Norbert J Körber,2 Franz Grehn,1 Martin M Much,1 Luisa Thederan,1 Juliane Matlach,1 Josefina Parente Salgado11Department of Ophthalmology, University of Würzburg, Würzburg, Germany; 2Augencentrum Köln-Porz, Köln, GermanyPurpose: To evaluate quality of life (QoL) with a new questionnaire after canaloplasty (CP) and trabeculectomy (TE).Patients and methods: We assessed outcomes of surgery, rate of revision surgeries, patients’ mood, and influence of postoperative care on QoL, surgery interference with daily activities, and postsurgical complaints. Patients completed the QoL questionnaire 24 months after surgery. Results: Patients who underwent CP (n=175) were compared to TE patients (n=152). In the CP group, 57% of patients expressed high satisfaction, while 41% of patients in the TE group said they were highly satisfied. The satisfaction difference was statistically significant (P=0.034). Significantly fewer second surgeries were needed after CP (8% CP versus 35% TE, P<0.001). Patients were more positive in the CP group (54% CP versus 37% TE, P<0.009). Stress related to postoperative care was lower in the CP group compared to the TE group (14% versus 46%). Difficulties with activities of daily living, such as reading, were much lower or even nonexistent after CP, and complaints like eye burning or stinging were significantly lower in the CP group. Conclusions: Compared with TE, CP is associated with less QoL impairment and higher patient satisfaction after surgery. However, long-term data on intraocular pressure reduction after surgery are needed to confirm long-term patient satisfaction with this surgery.Keywords: glaucoma, postoperative care, glaucoma surgery, non-penetrating glaucoma surgery
format	article
author	Klink T Sauer J Körber NJ Grehn F Much MM Thederan L Matlach J Salgado JP
author_facet	Klink T Sauer J Körber NJ Grehn F Much MM Thederan L Matlach J Salgado JP
author_sort	Klink T
title	Quality of life following glaucoma surgery: canaloplasty versus trabeculectomy
title_short	Quality of life following glaucoma surgery: canaloplasty versus trabeculectomy
title_full	Quality of life following glaucoma surgery: canaloplasty versus trabeculectomy
title_fullStr	Quality of life following glaucoma surgery: canaloplasty versus trabeculectomy
title_full_unstemmed	Quality of life following glaucoma surgery: canaloplasty versus trabeculectomy
title_sort	quality of life following glaucoma surgery: canaloplasty versus trabeculectomy
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/dfd8f71489194dec8abb894c9fd23f02
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Quality of life following glaucoma surgery: canaloplasty versus trabeculectomy

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