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Viscoelastic-augmented trabeculectomy: A newer concept
Comparison of conventional trabeculectomy (CT) and viscoelastic-augmented trabeculectomy (VAT) in primary open-angle glaucoma. A total of 65 primary open-angle glaucoma cases were taken for each of the two groups, i.e., CT and VAT. Viscoelastic-augmented trabeculectomy constituted lamellar scleral f...
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| Published in: | Indian journal of ophthalmology 2017-08, Vol.65 (8), p.705-711 |
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| container_title | Indian journal of ophthalmology |
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| creator | Solanki, Meghna Kumar, Ankur Upadhyay, Anubhav Kumar, Kishor |
| description | Comparison of conventional trabeculectomy (CT) and viscoelastic-augmented trabeculectomy (VAT) in primary open-angle glaucoma.
A total of 65 primary open-angle glaucoma cases were taken for each of the two groups, i.e., CT and VAT. Viscoelastic-augmented trabeculectomy constituted lamellar scleral flap, deep scleral flap, penetrating trabeculectomy, peripheral iridectomy, filling of the anterior chamber with viscoelastic (sodium hyaluronate) and balanced salt solution, movement of visco in bleb, and tight flap closure. Success criteria included intraocular pressure (IOP) |
| doi_str_mv | 10.4103/ijo.IJO_162_17 |
| format | article |
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A total of 65 primary open-angle glaucoma cases were taken for each of the two groups, i.e., CT and VAT. Viscoelastic-augmented trabeculectomy constituted lamellar scleral flap, deep scleral flap, penetrating trabeculectomy, peripheral iridectomy, filling of the anterior chamber with viscoelastic (sodium hyaluronate) and balanced salt solution, movement of visco in bleb, and tight flap closure. Success criteria included intraocular pressure (IOP) <14 mmHg with no devastating complications. P < 0.05 was considered statistically significant.
Mean IOP was significantly lower after VAT compared to CT at 6 weeks, 12 weeks, and 6 months postoperatively. Target IOP was achieved in 60% cases in VAT group compared to 36.92% in CT group.
VAT is effective in reducing IOP to the target level for advanced glaucoma with lower postoperative complications.</description><identifier>ISSN: 0301-4738</identifier><identifier>EISSN: 1998-3689</identifier><identifier>DOI: 10.4103/ijo.IJO_162_17</identifier><identifier>PMID: 28820156</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. Ltd</publisher><subject>Analysis ; Anterior Chamber ; Care and treatment ; Cataracts ; Comparative analysis ; Conventional trabeculectomy ; Female ; Follow-Up Studies ; Glaucoma ; Glaucoma, Open-Angle - physiopathology ; Glaucoma, Open-Angle - surgery ; Humans ; Hyaluronic Acid - administration & dosage ; Intraocular Pressure - physiology ; Iris - surgery ; Male ; Open-angle glaucoma ; Ophthalmology ; Original ; Ostomy ; Patients ; Sclera - transplantation ; Sodium ; Sodium hyaluronate ; Statistical analysis ; Success ; Surgery ; Time Factors ; Trabeculectomy ; Trabeculectomy - methods ; Treatment Outcome ; visco elastic augmented trabeculectomy ; Viscoelasticity ; Viscosupplements - administration & dosage</subject><ispartof>Indian journal of ophthalmology, 2017-08, Vol.65 (8), p.705-711</ispartof><rights>COPYRIGHT 2017 Medknow Publications and Media Pvt. Ltd.</rights><rights>Copyright Medknow Publications & Media Pvt. Ltd. Aug 2017</rights><rights>Copyright: © 2017 Indian Journal of Ophthalmology 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c589t-2385db8506ecc9d003f2d88337bf90f0bb383ae0429ba2695b8f708398c12e1c3</citedby><cites>FETCH-LOGICAL-c589t-2385db8506ecc9d003f2d88337bf90f0bb383ae0429ba2695b8f708398c12e1c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5598181/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1940889401?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28820156$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Solanki, Meghna</creatorcontrib><creatorcontrib>Kumar, Ankur</creatorcontrib><creatorcontrib>Upadhyay, Anubhav</creatorcontrib><creatorcontrib>Kumar, Kishor</creatorcontrib><title>Viscoelastic-augmented trabeculectomy: A newer concept</title><title>Indian journal of ophthalmology</title><addtitle>Indian J Ophthalmol</addtitle><description>Comparison of conventional trabeculectomy (CT) and viscoelastic-augmented trabeculectomy (VAT) in primary open-angle glaucoma.
A total of 65 primary open-angle glaucoma cases were taken for each of the two groups, i.e., CT and VAT. Viscoelastic-augmented trabeculectomy constituted lamellar scleral flap, deep scleral flap, penetrating trabeculectomy, peripheral iridectomy, filling of the anterior chamber with viscoelastic (sodium hyaluronate) and balanced salt solution, movement of visco in bleb, and tight flap closure. Success criteria included intraocular pressure (IOP) <14 mmHg with no devastating complications. P < 0.05 was considered statistically significant.
Mean IOP was significantly lower after VAT compared to CT at 6 weeks, 12 weeks, and 6 months postoperatively. Target IOP was achieved in 60% cases in VAT group compared to 36.92% in CT group.
VAT is effective in reducing IOP to the target level for advanced glaucoma with lower postoperative complications.</description><subject>Analysis</subject><subject>Anterior Chamber</subject><subject>Care and treatment</subject><subject>Cataracts</subject><subject>Comparative analysis</subject><subject>Conventional trabeculectomy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glaucoma</subject><subject>Glaucoma, Open-Angle - physiopathology</subject><subject>Glaucoma, Open-Angle - surgery</subject><subject>Humans</subject><subject>Hyaluronic Acid - administration & dosage</subject><subject>Intraocular Pressure - physiology</subject><subject>Iris - surgery</subject><subject>Male</subject><subject>Open-angle glaucoma</subject><subject>Ophthalmology</subject><subject>Original</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Sclera - transplantation</subject><subject>Sodium</subject><subject>Sodium hyaluronate</subject><subject>Statistical analysis</subject><subject>Success</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Trabeculectomy</subject><subject>Trabeculectomy - methods</subject><subject>Treatment Outcome</subject><subject>visco elastic augmented trabeculectomy</subject><subject>Viscoelasticity</subject><subject>Viscosupplements - administration & dosage</subject><issn>0301-4738</issn><issn>1998-3689</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kt9rFDEQx4Mo9qy--igHvviyZ35n4oNwlFZPCn1RX0OSnT332N2c2V2l_705W1tPigQSmHzmOzNfhpCXjK4ko-Jtu0urzacrxzR3zDwiC2YtVEKDfUwWVFBWSSPghDwbxx2lwjALT8kJB-CUKb0g-ms7xoSdH6c2Vn7e9jhMWC-n7APGucM4pf763XK9HPAn5mVMQ8T99Jw8aXw34ovb95R8uTj_fPaxurz6sDlbX1ZRgZ0qLkDVARTVGKOtSwMNrwGEMKGxtKEhCBAeqeQ2eK6tCtAYCsJCZBxZFKdkc6NbJ79z-9z2Pl-75Fv3O5Dy1vlcOu_QWWU0R-29jEYGsIEbrhsVSmlWs8iK1vsbrf0ceqxjGTT77kj0-Gdov7lt-uGUssDgIPDmViCn7zOOk-uLedh1fsA0j45ZQaUxUtiCvv4H3aU5D8WqQkkKUC52T219GaAdmlTqxoOoWyvKpDBSi0JVD1BbHLA0mQZs2hI-4lcP8OXU2Lfxfwkxp3HM2Nx5wqg7bJkrW-but6wkvPrbyTv8z1qJX9ysy6c</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Solanki, Meghna</creator><creator>Kumar, Ankur</creator><creator>Upadhyay, Anubhav</creator><creator>Kumar, Kishor</creator><general>Medknow Publications and Media Pvt. 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Kumar, Ankur ; Upadhyay, Anubhav ; Kumar, Kishor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c589t-2385db8506ecc9d003f2d88337bf90f0bb383ae0429ba2695b8f708398c12e1c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Analysis</topic><topic>Anterior Chamber</topic><topic>Care and treatment</topic><topic>Cataracts</topic><topic>Comparative analysis</topic><topic>Conventional trabeculectomy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glaucoma</topic><topic>Glaucoma, Open-Angle - physiopathology</topic><topic>Glaucoma, Open-Angle - surgery</topic><topic>Humans</topic><topic>Hyaluronic Acid - administration & dosage</topic><topic>Intraocular Pressure - physiology</topic><topic>Iris - surgery</topic><topic>Male</topic><topic>Open-angle glaucoma</topic><topic>Ophthalmology</topic><topic>Original</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Sclera - transplantation</topic><topic>Sodium</topic><topic>Sodium hyaluronate</topic><topic>Statistical analysis</topic><topic>Success</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Trabeculectomy</topic><topic>Trabeculectomy - methods</topic><topic>Treatment Outcome</topic><topic>visco elastic augmented trabeculectomy</topic><topic>Viscoelasticity</topic><topic>Viscosupplements - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Solanki, Meghna</creatorcontrib><creatorcontrib>Kumar, Ankur</creatorcontrib><creatorcontrib>Upadhyay, Anubhav</creatorcontrib><creatorcontrib>Kumar, Kishor</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Indian journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Solanki, Meghna</au><au>Kumar, Ankur</au><au>Upadhyay, Anubhav</au><au>Kumar, Kishor</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Viscoelastic-augmented trabeculectomy: A newer concept</atitle><jtitle>Indian journal of ophthalmology</jtitle><addtitle>Indian J Ophthalmol</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>65</volume><issue>8</issue><spage>705</spage><epage>711</epage><pages>705-711</pages><issn>0301-4738</issn><eissn>1998-3689</eissn><abstract>Comparison of conventional trabeculectomy (CT) and viscoelastic-augmented trabeculectomy (VAT) in primary open-angle glaucoma.
A total of 65 primary open-angle glaucoma cases were taken for each of the two groups, i.e., CT and VAT. Viscoelastic-augmented trabeculectomy constituted lamellar scleral flap, deep scleral flap, penetrating trabeculectomy, peripheral iridectomy, filling of the anterior chamber with viscoelastic (sodium hyaluronate) and balanced salt solution, movement of visco in bleb, and tight flap closure. Success criteria included intraocular pressure (IOP) <14 mmHg with no devastating complications. P < 0.05 was considered statistically significant.
Mean IOP was significantly lower after VAT compared to CT at 6 weeks, 12 weeks, and 6 months postoperatively. Target IOP was achieved in 60% cases in VAT group compared to 36.92% in CT group.
VAT is effective in reducing IOP to the target level for advanced glaucoma with lower postoperative complications.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>28820156</pmid><doi>10.4103/ijo.IJO_162_17</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0301-4738 |
| ispartof | Indian journal of ophthalmology, 2017-08, Vol.65 (8), p.705-711 |
| issn | 0301-4738 1998-3689 |
| language | eng |
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| source | Publicly Available Content (ProQuest); PubMed Central |
| subjects | Analysis Anterior Chamber Care and treatment Cataracts Comparative analysis Conventional trabeculectomy Female Follow-Up Studies Glaucoma Glaucoma, Open-Angle - physiopathology Glaucoma, Open-Angle - surgery Humans Hyaluronic Acid - administration & dosage Intraocular Pressure - physiology Iris - surgery Male Open-angle glaucoma Ophthalmology Original Ostomy Patients Sclera - transplantation Sodium Sodium hyaluronate Statistical analysis Success Surgery Time Factors Trabeculectomy Trabeculectomy - methods Treatment Outcome visco elastic augmented trabeculectomy Viscoelasticity Viscosupplements - administration & dosage |
| title | Viscoelastic-augmented trabeculectomy: A newer concept |
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