Comparison of Using One Trabecular Microbypass Stent versus Two during Cataract Surgery at Two Sites: One-Year Follow-Up.

Purpose. To compare IOP and ocular hypotensive medication reduction of using one trabecular microbypass stent versus two in patients with open-angle glaucoma. Setting. Palo Alto Veterans Affairs (VA) Hospital and the Byers Eye Institute at Stanford University, Palo Alto, California, USA. Design. Ret...

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Publicado en:BioMed Research International pp. 1 - 7
Autores principales: Yang, Shuo, Ittarat, Mantapond, Tran, Elaine, Ferrell, Patricia, Wang, Gloria, Fisher, Ann C., Li, Zhongqiu, Chang, Robert T.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 4/7/2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/7/2020
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2020/1920352
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        atl: Comparison of Using One Trabecular Microbypass Stent versus Two during Cataract Surgery at Two Sites: One-Year Follow-Up.
      aug:
        au:
          Yang, Shuo
          Ittarat, Mantapond
          Tran, Elaine
          Ferrell, Patricia
          Wang, Gloria
          Fisher, Ann C.
          Li, Zhongqiu
          Chang, Robert T.
        affil: Department of Ophthalmology, Beijing Chao Yang Hospital, Capital Medical University, Beijing, China
      sug:
        subj:
          Stents
          Eye Surgery Equipment and Supplies
          Intraocular Pressure Evaluation
          Postoperative Complications
          Glaucoma Surgery
          Cataract Extraction Adverse Effects
          Human
          Comparative Studies
          After Care
          Hospitals
          Record Review
          Retrospective Design
          Treatment Outcomes
          Glaucoma Drug Therapy
          Descriptive Statistics
      ab: Purpose. To compare IOP and ocular hypotensive medication reduction of using one trabecular microbypass stent versus two in patients with open-angle glaucoma. Setting. Palo Alto Veterans Affairs (VA) Hospital and the Byers Eye Institute at Stanford University, Palo Alto, California, USA. Design. Retrospective case series. Methods. A chart review included patients who underwent trabecular microbypass implantation with cataract surgery in 2015-2017, with at least one-year follow-up. Subjects were divided into two groups by location (always one stent at Stanford versus two stents at the VA). Primary outcome measures included IOP and medication reduction at baseline and 12-month follow-up. Results. 132 subjects (166 eyes) were included. The preoperative IOP was 16.3 ± 3.4 mmHg on 2.6 ± 1.1 medications in the one-stent group (N = 85) and 17.5 ± 3.1 mmHg on 2.7 ± 0.6 medications in the two-stent group (N = 81). There was no significant difference between the two groups (p = 0.06). At the 12-month visit, there was a 13.37 % ± 2.93 reduction in IOP in the 1-stent group (p ≤ 0.001) and 13.49 % ± 2.69 in the 2-stent group (p ≤ 0.001); both were not significantly different from each other (p = 0.074). At 12 months, there was also a 14.5% reduction in medication use for the 1-stent group and 15.3% reduction in the 2-stent group, both statistically significant from baseline, (p = 0.022 and p = 0.037 , respectively). Conclusions. Implantation with either one or two stents during cataract surgery in patients with glaucoma demonstrated similar IOP and med reduction in both groups between the two sites.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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