Surgical outcomes of membrane-tube-type glaucoma shunt device in indigenous West Africans

Olusola Olawoye,1,2 Tarela Sarimiye,1,2 Adeyinka Ashaye,1,2 Young Hoon Hwang,3 Jong Chul Han,4 Byung Heon Ahn3 1Department of Ophthalmology, College of Medicine, University of Ibadan, 2Department of Ophthalmology, University College Hospital, Ibadan, Nigeria; 3Department of Ophthalmology, Konyang U...

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Autores principales:	Olawoye O, Sarimiye T, Ashaye A, Hwang YH, Han JC, Ahn BH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Glaucoma Intraocular pressure Surgery West Africans Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f5337df1df6349d8961589d12216e290
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spelling	oai:doaj.org-article:f5337df1df6349d8961589d12216e2902021-12-02T05:19:43ZSurgical outcomes of membrane-tube-type glaucoma shunt device in indigenous West Africans1177-5483https://doaj.org/article/f5337df1df6349d8961589d12216e2902018-02-01T00:00:00Zhttps://www.dovepress.com/surgical-outcomes-of-membrane-tube-type-glaucoma-shunt-device-in-indig-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Olusola Olawoye,1,2 Tarela Sarimiye,1,2 Adeyinka Ashaye,1,2 Young Hoon Hwang,3 Jong Chul Han,4 Byung Heon Ahn3 1Department of Ophthalmology, College of Medicine, University of Ibadan, 2Department of Ophthalmology, University College Hospital, Ibadan, Nigeria; 3Department of Ophthalmology, Konyang University, Kim’s Eye Hospital, Myung-Gok Eye Research Institute, 4Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, South Korea Purpose: The aim of this study was to report the safety and efficacy of the membrane-tube (MT)-type glaucoma shunt device (Finetube MT) in the management of refractory glaucoma in indigenous West Africans.Methods: The Finetube MT was implanted into 25 eyes of 25 West African patients with refractory glaucoma. These patients had inadequate intraocular pressure (IOP) control despite maximum tolerable IOP-lowering medications with or without previous ocular surgeries. IOP, postoperative complications, interventions, visual acuities, and the number of IOP-lowering medications were analyzed preoperatively and postoperatively.Results: The mean (standard deviation [SD]) age of the patients was 49.7 (20.9) years. The mean (SD) follow-up duration was 21.0 (10.6) months. Postoperatively, the mean (SD) IOP reduced from a preoperative value of 38.1 (10.3) mmHg to 14.5 (4.6), 16.1 (7.8), and 14.7 (3.0) mmHg at 1, 2, and 3 years postoperatively, respectively, representing 61.9%, 57.7%, and 61.4% reduction from baseline (P<0.01). The mean (SD) number of IOP-lowering medications reduced from 4.1 (1.0) to 0.6 (0.9) at 1 year and 0.9 (1.1) at 2 years after the operation (P<0.01). Using an IOP level between 6 and 21 mmHg and reduced by ≥20% from baseline, the cumulative survival rate (standard error) was 96.0% (3.9%) at 6 months, 89.0% (6.0%) at 18 months, and 81.3% (10.6%) at 3 years after the operation. There was no postoperative ocular hypotony, tube occlusion, or device exposure.Conclusion: The Finetube MT may effectively control IOP with minimal risk of postoperative complications in indigenous West Africans. Keywords: glaucoma, intraocular pressure, glaucoma shunt device, West AfricaOlawoye OSarimiye TAshaye AHwang YHHan JCAhn BHDove Medical PressarticleGlaucomaIntraocular pressureSurgeryWest AfricansOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 279-286 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Glaucoma Intraocular pressure Surgery West Africans Ophthalmology RE1-994
spellingShingle	Glaucoma Intraocular pressure Surgery West Africans Ophthalmology RE1-994 Olawoye O Sarimiye T Ashaye A Hwang YH Han JC Ahn BH Surgical outcomes of membrane-tube-type glaucoma shunt device in indigenous West Africans
description	Olusola Olawoye,1,2 Tarela Sarimiye,1,2 Adeyinka Ashaye,1,2 Young Hoon Hwang,3 Jong Chul Han,4 Byung Heon Ahn3 1Department of Ophthalmology, College of Medicine, University of Ibadan, 2Department of Ophthalmology, University College Hospital, Ibadan, Nigeria; 3Department of Ophthalmology, Konyang University, Kim’s Eye Hospital, Myung-Gok Eye Research Institute, 4Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, South Korea Purpose: The aim of this study was to report the safety and efficacy of the membrane-tube (MT)-type glaucoma shunt device (Finetube MT) in the management of refractory glaucoma in indigenous West Africans.Methods: The Finetube MT was implanted into 25 eyes of 25 West African patients with refractory glaucoma. These patients had inadequate intraocular pressure (IOP) control despite maximum tolerable IOP-lowering medications with or without previous ocular surgeries. IOP, postoperative complications, interventions, visual acuities, and the number of IOP-lowering medications were analyzed preoperatively and postoperatively.Results: The mean (standard deviation [SD]) age of the patients was 49.7 (20.9) years. The mean (SD) follow-up duration was 21.0 (10.6) months. Postoperatively, the mean (SD) IOP reduced from a preoperative value of 38.1 (10.3) mmHg to 14.5 (4.6), 16.1 (7.8), and 14.7 (3.0) mmHg at 1, 2, and 3 years postoperatively, respectively, representing 61.9%, 57.7%, and 61.4% reduction from baseline (P<0.01). The mean (SD) number of IOP-lowering medications reduced from 4.1 (1.0) to 0.6 (0.9) at 1 year and 0.9 (1.1) at 2 years after the operation (P<0.01). Using an IOP level between 6 and 21 mmHg and reduced by ≥20% from baseline, the cumulative survival rate (standard error) was 96.0% (3.9%) at 6 months, 89.0% (6.0%) at 18 months, and 81.3% (10.6%) at 3 years after the operation. There was no postoperative ocular hypotony, tube occlusion, or device exposure.Conclusion: The Finetube MT may effectively control IOP with minimal risk of postoperative complications in indigenous West Africans. Keywords: glaucoma, intraocular pressure, glaucoma shunt device, West Africa
format	article
author	Olawoye O Sarimiye T Ashaye A Hwang YH Han JC Ahn BH
author_facet	Olawoye O Sarimiye T Ashaye A Hwang YH Han JC Ahn BH
author_sort	Olawoye O
title	Surgical outcomes of membrane-tube-type glaucoma shunt device in indigenous West Africans
title_short	Surgical outcomes of membrane-tube-type glaucoma shunt device in indigenous West Africans
title_full	Surgical outcomes of membrane-tube-type glaucoma shunt device in indigenous West Africans
title_fullStr	Surgical outcomes of membrane-tube-type glaucoma shunt device in indigenous West Africans
title_full_unstemmed	Surgical outcomes of membrane-tube-type glaucoma shunt device in indigenous West Africans
title_sort	surgical outcomes of membrane-tube-type glaucoma shunt device in indigenous west africans
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/f5337df1df6349d8961589d12216e290
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Surgical outcomes of membrane-tube-type glaucoma shunt device in indigenous West Africans

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