Realini, Tony; Gazzard, Gus; Latina, Mark; Kass, Michael
doi : 10.1097/IJG.0000000000001788
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p 545-551
The recent Laser in Glaucoma and Ocular Hypertension Trial provided the evidentiary basis for a paradigm shift away from the historical medication-first approach to glaucoma--which has numerous limitations, the most important of which is poor adherence to therapy --and toward a laser-first approach.
Nguyen Xuan, Hiep; Nguyen Dinh, Ngan; Nguyen Thu, Huong; Nguyen Van, Cuong; Aung, Tin; Loo, Yunhua; Nguyen Do Thi Ngoc, Hien; Do, Tan
doi : 10.1097/IJG.0000000000001868
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p 552-558
Combined phacoemulsification-goniosynechialysis (phaco-GSL) and unaugmented phacotrabeculectomy were both found to be effective in treating eyes with significant cataract and medically unresponsive acute primary angle closure glaucoma (PACG). Phaco-GSL seemed to be safer, with fewer surgical complications, and achieved better visual acuity than phacotrabeculectomy.
Oddone, Francesco; Roberti, Gloria; Posarelli, Chiara; Agnifili, Luca; Mastropasqua, Leonardo; Carnevale, Carmela; Micelli Ferrari, Tommaso; Pace, Vincenzo; Sacchi, Matteo; Cremonesi, Elena; Uva, Maurizio; Menchini, Martina; Brescia, Lorenza; Figus, Michele
doi : 10.1097/IJG.0000000000001840
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p 559-565
XEN implant was associated with low endothelial cell density (ECD) reduction. In fact, when combined with phacoemulsification, the reduction in ECD was similar to that expected after phacoemulsification alone.
Lim, Edward J.Y.; Aquino, Cecilia M.; Lun, Katherine W.X.; Lim, Dawn K.A.; Sng, Chelvin; Loon, Seng Chee; Chew, Paul T.K.; Koh, Victor T.C.
doi : 10.1097/IJG.0000000000001862
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p 566-574
Repeat micropulse transscleral cyclophotocoagulation (MPTCP) has some benefit in lowering intraocular pressure (IOP). There was a small risk of loss of vision, prolonged hypotony, and phthisis bulbi.
Elhusseiny, Abdelrahman M.; VanderVeen, Deborah K.
doi : 10.1097/IJG.0000000000001855
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p 575-578
The aim was to evaluate the short-term outcomes of Ahmed clear path (ACP) valveless glaucoma drainage device in childhood glaucoma.
Kilgore, Khin P.; Wang, Feng; Stern, Nicole C.; Sabbagh, Nouran; Jamali, Sepideh; White, Launia J.; Sit, Arthur J.; Bitrian, Elena; Roddy, Gavin W.; Mohney, Brian G.; Khanna, Cheryl L.
doi : 10.1097/IJG.0000000000001886
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p 579-584
Diplopia was present in ~20% of patients with Ahmed FP7 (FP7) or Baerveldt 350 (B350), compared with 5% to 6% in those with Baerveldt 250 (B250) or controls, suggesting risk of diplopia should be included in preoperative counseling.
Dawson, Emily F.; Rosenberg, Nicole C.; Meyer, Alissa M.; Culpepper, Brady E.; Bolch, Charlotte A.; Wilson, Mary K.; Nguyen, Phuong T.; Rodgers, Cooper D.; Smith, Ryan J.; Blake, Charles R.; Sherwood, Mark B.
doi : 10.1097/IJG.0000000000001852
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p 585-595
A comparison of 186 glaucoma patients with mixed diagnoses who underwent nonvalved glaucoma drainage device (GDD) implant surgery showed similar long-term intraocular pressure (IOP), medication, and visual acuity (VA) outcomes between those with prior failed trabeculectomy surgery versus those without.
Rabiolo, Alessandro; Leadbetter, Duncan; Anand, Nitin
doi : 10.1097/IJG.0000000000001882
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p e314-e326
Chronic hypotony is not uncommon following deep sclerectomy (DS), but only a minor proportion of patients develop hypotony-associated complications. Numerical hypotony does not affect the visual outcomes. This study identifies factors associated with hypotony.
Promelle, Veronique; Lyons, Christopher J.
doi : 10.1097/IJG.0000000000001881
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p 596-605
Mitomycin was used with Ahmed valve implantation in 81 eyes of 63 children. After 5 years, probability of intraocular pressure (IOP) control without glaucoma medication was 35±6%; 57% achieved IOP control with topical medications after 10 years.
Healey, Paul R.; Clement, Colin I.; Kerr, Nathan M.; Tilden, Dominic; Aghajanian, Lara
doi : 10.1097/IJG.0000000000001805
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p 606-620
Standalone trabecular micro-bypass glaucoma surgery with the iStent devices is associated with clinically relevant reductions in intraocular pressure (IOP) sustained over a reasonably long-term while simultaneously reducing medication burden and a relatively favorable safety profile.
Qiu, Mary; Woreta, Fasika A.; Boland, Michael V.
doi : 10.1097/IJG.0000000000001846
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p 621-628
A cross-sectional sample of the US ophthalmology residency graduating class of 2018 revealed that 18.4% of residents logged <5 traditional glaucoma surgeries, and 63.4% logged at least 1 microinvasive glaucoma surgery (MIGS).
Tanito, Masaki; Tsutsui, Aika; Manabe, Kaoru; Matsuoka, Yotaro
doi : 10.1097/IJG.0000000000001884
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p e327-e333
Ahmed glaucoma valve (AGV) implantation in eyes with damaged iris-lens diaphragms (“1-chamber” eyes) resulted in mean intraocular pressure (IOP) and antiglaucoma medications decreases of 66% and 59% (P<0.0001 for both), respectively, at the mean 23-month follow-up
DiSclafani, Mark; Richards, David; Schneider, Alex; Whitfield, Whitney; Ayoubi, Yasmin
doi : 10.1097/IJG.0000000000001839
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p e334-e337
Our laboratory study determined the approximate suture diameter for use in intraluminal stenting of the Baerveldt glaucoma implant (BGI) to prevent postoperative hypotony. Commercial 3-0 monofilament nylon sutures which are commonly used may vary significantly outside of this diameter.
Fellman, Ronald L.; Grover, Davinder S.; Smith, Oluwatosin U.; Kornmann, Helen L.
doi : 10.1097/IJG.0000000000001847
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p e338-e343
The purpose of this study was to inform ophthalmic surgeons in a timely manner of the hidden problem of clear intraluminal cellular debris as a cause for XEN-45 failure and to describe low energy neodymium-doped yttrium aluminum garnet (Nd:YAG) laser revision with periluminal anterior chamber tip shockwave treatment to improve flow to the bleb.
Nicholas, Matthew P.; Vaz, Tara; Idrees, Sana; Shareef, Shakeel
doi : 10.1097/IJG.0000000000001841
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p e344-e346
A 57-year-old woman presented with photophobia and complaint of a persistent white light in the inferior field of her left eye for 18 months following laser peripheral iridotomy both eyes. In primary gaze, the upper lid margin was noted to bisect the iridotomy at 2 o’clock left eye (OS). She relates that the light moves with her eyelid OS only and resolves by lifting the lid. A 54-year-old male presented with complaint of seeing 2 horizontal lines in his field of vision immediately following laser iridotomy OS that have persisted for a duration of 7 years. He notes they are constant and resolve by lifting up the eyelid. In primary position, the left upper lid margin was noted to bisect the iridotomy at 12 o’clock OS.
Sigona, Mark; Murthy, Shashidhar
doi : 10.1097/IJG.0000000000001838
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p e347-e348
We report a case of migration of the XEN45 gel stent into the anterior chamber successfully treated with trimming of the implant. To the best of our knowledge, this management strategy for migration of the implant has not previously been reported.
Michaels, Luke; Holland, Lee; Mercieca, Karl
doi : 10.1097/IJG.0000000000001848
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p e349-e351
This article describes the first reported case of trans-conjunctival Preserflo microshunt erosion after revision surgery augmented with mitomycin C. Recommendations to avoid this complication include removal of original microshunt and limiting secondary application of mitomycin C.
Djavanmardi, Shirin; Arciniegas-Perasso, Carlos A.; Duch, Susana; Avila-Marr?n, Elena; Milla, Elena
doi : 10.1097/IJG.0000000000001721
Journal of Glaucoma: July 2021 - Volume 30 - Issue 7 - p e352-e356
To describe 5 representative cases of hemorrhagic Descemet’s membrane (DM) detachment in glaucoma surgery that had different origins, mechanisms and treatments.
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