Need for Additional Glaucoma Surgery and Complications Following Glaucoma Drainage Device Surgery

被引:6
作者
Kung, Felix F. [1 ]
Knier, Catherine G. [1 ,2 ]
Garmany, Armin [1 ,2 ]
Mejia, Camilo A. [1 ]
Sargent, Jason M. [1 ]
Dogahe, Sepideh Jamali [3 ]
Sabbagh, Nouran [3 ]
Hodge, David O. [4 ]
Khanna, Cheryl L. [3 ]
机构
[1] Mayo Clin, Alix Sch Med, Rochester, MN 55905 USA
[2] Mayo Clin, Med Scientist Training Program, Grad Sch Biomed Sci, Rochester, MN 55905 USA
[3] Mayo Clin, Dept Ophthalmol, 200 First St SW, Rochester, MN 55905 USA
[4] Mayo Clin, Dept Hlth Sci Res, Jacksonville, FL 32224 USA
关键词
glaucoma drainage device; additional glaucoma surgery; reoperation; corneal graft; POSTOPERATIVE COMPLICATIONS; MEDICARE BENEFICIARIES; TRABECULECTOMY TVT; TREATMENT OUTCOMES; BAERVELDT; TUBE;
D O I
10.1097/IJG.0000000000001827
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Precis: In this longitudinal study of patients with open-angle (OAG), pseudoexfoliative (PXE), or neovascular glaucoma (NVG) receiving glaucoma drainage devices (GDD), posttube cumulative rates of reoperation, corneal graft, and visually threatening complications (VT-complications) increased beyond 5 years and were not significantly affected by glaucoma type. Purpose: To study the need for additional glaucoma surgery and development of complications after first GDD surgery in eyes with primary OAG, PXE, or NVG glaucoma. Patients and Methods: There were 306 eyes with OAG (n=185), PXE (n=60), or NVG (n=61) glaucoma who received a first GDD between 1996 and 2017. Outcomes including glaucoma reoperation, corneal graft procedure, and VT-complications after GDD were measured. Kaplan-Meier analysis was used to compare cumulative rate of reaching outcomes over time after GDD placement among the 3 glaucoma groups. Results: When comparing the OAG, PXE, and NVG groups, there were no significant differences in post-GDD cumulative rates of reoperation (P=0.33), corneal graft (P=0.26), or VT-complications (P=0.65) over time. For all eyes, the overall cumulative rates for each outcome measure increased beyond 5 years, and specific Kaplan-Meier rates (5-y, 10-y) included: reoperation (16%, 25%), corneal graft (6%, 12%), VT-complications (9%, 14%). When comparing specific GDDs, the Ahmed FP7 had a higher cumulative reoperation rate over time compared with the Baerveldt 350 (P=0.019). Conclusion: Glaucoma type did not significantly affect post-GDD cumulative rates of reoperation, corneal graft, and VT-complication among the OAG, PXE, and NVG groups. For all eyes, cumulative rates of reoperation, corneal graft, and VT-complications increased beyond 5 years. The Ahmed FP7 had a significantly higher cumulative reoperation rate compared with the Baerveldt 350 over time.
引用
收藏
页码:508 / 514
页数:7
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