Evaluation of EX-PRESS glaucoma implant in elderly diabetic patients after 23G vitrectomy

Anita Lyssek-Boroń,1 Adam Wylęgała,1 Dariusz Dobrowolski,1,2 Ewelina Kowalczyk,1 Katarzyna Polanowska,1 Edward Wylęgała1,2 1Department of Ophthalmology with Pediatric Unit, Trauma Center, Santa Barbara Hospital, Sosnowiec, 2Department of Ophthalmology, Ophthalmology Clinic, Medical University of Si...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Lyssek-Boroń A, Wylęgała A, Dobrowolski D, Kowalczyk E, Polanowska K, Wylęgała E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Ex-Press glaucoma PPV diabetes Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/ea14011926374ba69cb9d2d3b95b8025
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ea14011926374ba69cb9d2d3b95b8025
record_format	dspace
spelling	oai:doaj.org-article:ea14011926374ba69cb9d2d3b95b80252021-12-02T07:27:23ZEvaluation of EX-PRESS glaucoma implant in elderly diabetic patients after 23G vitrectomy1178-1998https://doaj.org/article/ea14011926374ba69cb9d2d3b95b80252017-04-01T00:00:00Zhttps://www.dovepress.com/evaluation-of-ex-press-glaucoma-implant-in-elderly-diabetic-patients-a-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Anita Lyssek-Boroń,1 Adam Wylęgała,1 Dariusz Dobrowolski,1,2 Ewelina Kowalczyk,1 Katarzyna Polanowska,1 Edward Wylęgała1,2 1Department of Ophthalmology with Pediatric Unit, Trauma Center, Santa Barbara Hospital, Sosnowiec, 2Department of Ophthalmology, Ophthalmology Clinic, Medical University of Silesia, District Railway Hospital, Katowice, Poland Purpose: The most frequent qualifications for pars plana vitrectomy (PPV) in diabetic patients include recurrent hemorrhage into the vitreous body chamber and vitreoretinal proliferation, also with traction retinal detachment. The aim of this study was to evaluate the effectiveness of EX-PRESS implant for the treatment of secondary glaucoma in elderly diabetic patients following PPV 23G with silicon oil or SF6 gas endotamponade.Materials and methods: This retrospective analysis comprised 18 patients (19 eyes). We applied EX-PRESS implants in 9 patients with neovascular glaucoma (NVG) and in 10 patients with non-NVG. All patients had earlier history of diabetes and vitrectomy 23G for diabetic complications. Intraocular pressure (IOP) was measured and compared before; 7 days; 1, 3, 6, and 12 months; and a year after the surgery.Results: Application of the implant exhibited a lowering effect on IOP. After 1 month, 53% of patients had IOP values beyond 22 mmHg, while 86% after 1 year.Conclusion: The implant can be used to treat both NVG and non-NVG in diabetic patients following PPV. Keywords: PPV, glaucoma surgery, DM, IOPLyssek-Boroń AWylęgała ADobrowolski DKowalczyk EPolanowska KWylęgała EDove Medical PressarticleEx-PressglaucomaPPVdiabetesGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 653-658 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ex-Press glaucoma PPV diabetes Geriatrics RC952-954.6
spellingShingle	Ex-Press glaucoma PPV diabetes Geriatrics RC952-954.6 Lyssek-Boroń A Wylęgała A Dobrowolski D Kowalczyk E Polanowska K Wylęgała E Evaluation of EX-PRESS glaucoma implant in elderly diabetic patients after 23G vitrectomy
description	Anita Lyssek-Boroń,1 Adam Wylęgała,1 Dariusz Dobrowolski,1,2 Ewelina Kowalczyk,1 Katarzyna Polanowska,1 Edward Wylęgała1,2 1Department of Ophthalmology with Pediatric Unit, Trauma Center, Santa Barbara Hospital, Sosnowiec, 2Department of Ophthalmology, Ophthalmology Clinic, Medical University of Silesia, District Railway Hospital, Katowice, Poland Purpose: The most frequent qualifications for pars plana vitrectomy (PPV) in diabetic patients include recurrent hemorrhage into the vitreous body chamber and vitreoretinal proliferation, also with traction retinal detachment. The aim of this study was to evaluate the effectiveness of EX-PRESS implant for the treatment of secondary glaucoma in elderly diabetic patients following PPV 23G with silicon oil or SF6 gas endotamponade.Materials and methods: This retrospective analysis comprised 18 patients (19 eyes). We applied EX-PRESS implants in 9 patients with neovascular glaucoma (NVG) and in 10 patients with non-NVG. All patients had earlier history of diabetes and vitrectomy 23G for diabetic complications. Intraocular pressure (IOP) was measured and compared before; 7 days; 1, 3, 6, and 12 months; and a year after the surgery.Results: Application of the implant exhibited a lowering effect on IOP. After 1 month, 53% of patients had IOP values beyond 22 mmHg, while 86% after 1 year.Conclusion: The implant can be used to treat both NVG and non-NVG in diabetic patients following PPV. Keywords: PPV, glaucoma surgery, DM, IOP
format	article
author	Lyssek-Boroń A Wylęgała A Dobrowolski D Kowalczyk E Polanowska K Wylęgała E
author_facet	Lyssek-Boroń A Wylęgała A Dobrowolski D Kowalczyk E Polanowska K Wylęgała E
author_sort	Lyssek-Boroń A
title	Evaluation of EX-PRESS glaucoma implant in elderly diabetic patients after 23G vitrectomy
title_short	Evaluation of EX-PRESS glaucoma implant in elderly diabetic patients after 23G vitrectomy
title_full	Evaluation of EX-PRESS glaucoma implant in elderly diabetic patients after 23G vitrectomy
title_fullStr	Evaluation of EX-PRESS glaucoma implant in elderly diabetic patients after 23G vitrectomy
title_full_unstemmed	Evaluation of EX-PRESS glaucoma implant in elderly diabetic patients after 23G vitrectomy
title_sort	evaluation of ex-press glaucoma implant in elderly diabetic patients after 23g vitrectomy
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/ea14011926374ba69cb9d2d3b95b8025
work_keys_str_mv	AT lyssekborona evaluationofexpressglaucomaimplantinelderlydiabeticpatientsafter23gvitrectomy AT wylegałaa evaluationofexpressglaucomaimplantinelderlydiabeticpatientsafter23gvitrectomy AT dobrowolskid evaluationofexpressglaucomaimplantinelderlydiabeticpatientsafter23gvitrectomy AT kowalczyke evaluationofexpressglaucomaimplantinelderlydiabeticpatientsafter23gvitrectomy AT polanowskak evaluationofexpressglaucomaimplantinelderlydiabeticpatientsafter23gvitrectomy AT wylegałae evaluationofexpressglaucomaimplantinelderlydiabeticpatientsafter23gvitrectomy
_version_	1718399433808281600

Evaluation of EX-PRESS glaucoma implant in elderly diabetic patients after 23G vitrectomy

Ejemplares similares