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Effect of shunt type on rates of tube-cornea touch and corneal decompensation after tube shunt surgery in uveitic glaucoma
Purpose To evaluate the effect of tube shunt type [Ahmed (AGV) versus Baerveldt (BGI)] on the frequency of tube-cornea touch and corneal decompensation after tube shunt surgery. Methods This retrospective comparative study included 145 eyes of 130 patients with uveitic glaucoma who underwent AGV (75...
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| Published in: | Graefe's archive for clinical and experimental ophthalmology 2021-06, Vol.259 (6), p.1587-1595 |
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| container_issue | 6 |
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| container_title | Graefe's archive for clinical and experimental ophthalmology |
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| creator | Sinha, Sapna Ganjei, Allen Y. Ustaoglu, Melih Syed, Zeba A. Lee, Daniel Myers, Jonathan S. Fudemberg, Scott J. Razeghinejad, Reza |
| description | Purpose
To evaluate the effect of tube shunt type [Ahmed (AGV) versus Baerveldt (BGI)] on the frequency of tube-cornea touch and corneal decompensation after tube shunt surgery.
Methods
This retrospective comparative study included 145 eyes of 130 patients with uveitic glaucoma who underwent AGV (75 eyes) or BGI (70 eyes) implantations. Electronic medical records were reviewed to document demographic factors, intraocular pressure (IOP) reduction, frequency of tube-cornea touch, corneal decompensation, and need for subsequent corneal transplantation.
Results
The mean follow-up was 27.7±3.3 months for AGV and 32.8±3.8 months for BGI (
p
=0.30). Tube-cornea touch was observed in 5 eyes after BGI and 1 eye in the AGV group (
p
=0.08). The BGI group reported a significantly higher rate of corneal decompensation (9 versus 0;
p
=0.001) and transplantation (6 versus 0;
p
=0.01) compared to the AGV group. Previous trabeculectomy was a significant risk factor for corneal complications in eyes undergoing BGI implantation (odds ratio [OR]= 8.17, 95% confidence interval [CI]=1.78–37.45,
p
=0.007).
Conclusion
Similar rates of tube-cornea touch were observed in both shunt types; BGI shunts were associated with a greater incidence of corneal complications and transplantation as compared to AGV in this retrospective series of uveitic glaucoma cases. |
| doi_str_mv | 10.1007/s00417-021-05095-2 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2483814762</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2534810228</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-333de6c4d4bf5e87514e6547fd8739eb2e7b79739e02c8a18ffeedf456e144703</originalsourceid><addsrcrecordid>eNp9kU1LXDEUhkOx1Kn2D3QhATdubpvPSWZZRK0gdFPBXcjNPdErd5JpPoTx1zfjHVtw4eqEc573PUlehL5S8o0Sor5nQgRVHWG0I5KsZMc-oAUVXHaKsLsDtCCqjTRnd4foc86PpPFc0k_okLciOZUL9HzhPbiCo8f5oYaCy3YDOAacbIG8a5faQ-diCmBxidU9YBsGPDcmPICL6w2EbMvYVNYXSC-SvV2u6R7SFo8B1ycYy-jw_WRrE9lj9NHbKcOXfT1Ct5cXv89_dje_rq7Pf9x0jitZOs75AEsnBtF7CVpJKmAphfKDVnwFPQPVq9XuSJjTlur2IBi8kEugQijCj9DZ7LtJ8U-FXMx6zA6myQaINRsmNNdUqCVr6Okb9DHWFNrtDJNcaEoY041iM-VSzDmBN5s0rm3aGkrMLhkzJ2NaMuYlGbOzPtlb134Nwz_JaxQN4DOQ2yi0T_u_-x3bvwM0mjk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2534810228</pqid></control><display><type>article</type><title>Effect of shunt type on rates of tube-cornea touch and corneal decompensation after tube shunt surgery in uveitic glaucoma</title><source>Springer Nature</source><creator>Sinha, Sapna ; Ganjei, Allen Y. ; Ustaoglu, Melih ; Syed, Zeba A. ; Lee, Daniel ; Myers, Jonathan S. ; Fudemberg, Scott J. ; Razeghinejad, Reza</creator><creatorcontrib>Sinha, Sapna ; Ganjei, Allen Y. ; Ustaoglu, Melih ; Syed, Zeba A. ; Lee, Daniel ; Myers, Jonathan S. ; Fudemberg, Scott J. ; Razeghinejad, Reza</creatorcontrib><description>Purpose
To evaluate the effect of tube shunt type [Ahmed (AGV) versus Baerveldt (BGI)] on the frequency of tube-cornea touch and corneal decompensation after tube shunt surgery.
Methods
This retrospective comparative study included 145 eyes of 130 patients with uveitic glaucoma who underwent AGV (75 eyes) or BGI (70 eyes) implantations. Electronic medical records were reviewed to document demographic factors, intraocular pressure (IOP) reduction, frequency of tube-cornea touch, corneal decompensation, and need for subsequent corneal transplantation.
Results
The mean follow-up was 27.7±3.3 months for AGV and 32.8±3.8 months for BGI (
p
=0.30). Tube-cornea touch was observed in 5 eyes after BGI and 1 eye in the AGV group (
p
=0.08). The BGI group reported a significantly higher rate of corneal decompensation (9 versus 0;
p
=0.001) and transplantation (6 versus 0;
p
=0.01) compared to the AGV group. Previous trabeculectomy was a significant risk factor for corneal complications in eyes undergoing BGI implantation (odds ratio [OR]= 8.17, 95% confidence interval [CI]=1.78–37.45,
p
=0.007).
Conclusion
Similar rates of tube-cornea touch were observed in both shunt types; BGI shunts were associated with a greater incidence of corneal complications and transplantation as compared to AGV in this retrospective series of uveitic glaucoma cases.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-021-05095-2</identifier><identifier>PMID: 33515315</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cornea ; Corneal transplantation ; Electronic medical records ; Eye ; Glaucoma ; Medicine ; Medicine & Public Health ; Ophthalmology ; Risk factors ; Shunts ; Surgery ; Tactile stimuli</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2021-06, Vol.259 (6), p.1587-1595</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-333de6c4d4bf5e87514e6547fd8739eb2e7b79739e02c8a18ffeedf456e144703</citedby><cites>FETCH-LOGICAL-c375t-333de6c4d4bf5e87514e6547fd8739eb2e7b79739e02c8a18ffeedf456e144703</cites><orcidid>0000-0001-9904-2371</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33515315$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sinha, Sapna</creatorcontrib><creatorcontrib>Ganjei, Allen Y.</creatorcontrib><creatorcontrib>Ustaoglu, Melih</creatorcontrib><creatorcontrib>Syed, Zeba A.</creatorcontrib><creatorcontrib>Lee, Daniel</creatorcontrib><creatorcontrib>Myers, Jonathan S.</creatorcontrib><creatorcontrib>Fudemberg, Scott J.</creatorcontrib><creatorcontrib>Razeghinejad, Reza</creatorcontrib><title>Effect of shunt type on rates of tube-cornea touch and corneal decompensation after tube shunt surgery in uveitic glaucoma</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose
To evaluate the effect of tube shunt type [Ahmed (AGV) versus Baerveldt (BGI)] on the frequency of tube-cornea touch and corneal decompensation after tube shunt surgery.
Methods
This retrospective comparative study included 145 eyes of 130 patients with uveitic glaucoma who underwent AGV (75 eyes) or BGI (70 eyes) implantations. Electronic medical records were reviewed to document demographic factors, intraocular pressure (IOP) reduction, frequency of tube-cornea touch, corneal decompensation, and need for subsequent corneal transplantation.
Results
The mean follow-up was 27.7±3.3 months for AGV and 32.8±3.8 months for BGI (
p
=0.30). Tube-cornea touch was observed in 5 eyes after BGI and 1 eye in the AGV group (
p
=0.08). The BGI group reported a significantly higher rate of corneal decompensation (9 versus 0;
p
=0.001) and transplantation (6 versus 0;
p
=0.01) compared to the AGV group. Previous trabeculectomy was a significant risk factor for corneal complications in eyes undergoing BGI implantation (odds ratio [OR]= 8.17, 95% confidence interval [CI]=1.78–37.45,
p
=0.007).
Conclusion
Similar rates of tube-cornea touch were observed in both shunt types; BGI shunts were associated with a greater incidence of corneal complications and transplantation as compared to AGV in this retrospective series of uveitic glaucoma cases.</description><subject>Cornea</subject><subject>Corneal transplantation</subject><subject>Electronic medical records</subject><subject>Eye</subject><subject>Glaucoma</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Risk factors</subject><subject>Shunts</subject><subject>Surgery</subject><subject>Tactile stimuli</subject><issn>0721-832X</issn><issn>1435-702X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kU1LXDEUhkOx1Kn2D3QhATdubpvPSWZZRK0gdFPBXcjNPdErd5JpPoTx1zfjHVtw4eqEc573PUlehL5S8o0Sor5nQgRVHWG0I5KsZMc-oAUVXHaKsLsDtCCqjTRnd4foc86PpPFc0k_okLciOZUL9HzhPbiCo8f5oYaCy3YDOAacbIG8a5faQ-diCmBxidU9YBsGPDcmPICL6w2EbMvYVNYXSC-SvV2u6R7SFo8B1ycYy-jw_WRrE9lj9NHbKcOXfT1Ct5cXv89_dje_rq7Pf9x0jitZOs75AEsnBtF7CVpJKmAphfKDVnwFPQPVq9XuSJjTlur2IBi8kEugQijCj9DZ7LtJ8U-FXMx6zA6myQaINRsmNNdUqCVr6Okb9DHWFNrtDJNcaEoY041iM-VSzDmBN5s0rm3aGkrMLhkzJ2NaMuYlGbOzPtlb134Nwz_JaxQN4DOQ2yi0T_u_-x3bvwM0mjk</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Sinha, Sapna</creator><creator>Ganjei, Allen Y.</creator><creator>Ustaoglu, Melih</creator><creator>Syed, Zeba A.</creator><creator>Lee, Daniel</creator><creator>Myers, Jonathan S.</creator><creator>Fudemberg, Scott J.</creator><creator>Razeghinejad, Reza</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9904-2371</orcidid></search><sort><creationdate>20210601</creationdate><title>Effect of shunt type on rates of tube-cornea touch and corneal decompensation after tube shunt surgery in uveitic glaucoma</title><author>Sinha, Sapna ; Ganjei, Allen Y. ; Ustaoglu, Melih ; Syed, Zeba A. ; Lee, Daniel ; Myers, Jonathan S. ; Fudemberg, Scott J. ; Razeghinejad, Reza</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-333de6c4d4bf5e87514e6547fd8739eb2e7b79739e02c8a18ffeedf456e144703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cornea</topic><topic>Corneal transplantation</topic><topic>Electronic medical records</topic><topic>Eye</topic><topic>Glaucoma</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Risk factors</topic><topic>Shunts</topic><topic>Surgery</topic><topic>Tactile stimuli</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sinha, Sapna</creatorcontrib><creatorcontrib>Ganjei, Allen Y.</creatorcontrib><creatorcontrib>Ustaoglu, Melih</creatorcontrib><creatorcontrib>Syed, Zeba A.</creatorcontrib><creatorcontrib>Lee, Daniel</creatorcontrib><creatorcontrib>Myers, Jonathan S.</creatorcontrib><creatorcontrib>Fudemberg, Scott J.</creatorcontrib><creatorcontrib>Razeghinejad, Reza</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</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>MEDLINE - Academic</collection><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sinha, Sapna</au><au>Ganjei, Allen Y.</au><au>Ustaoglu, Melih</au><au>Syed, Zeba A.</au><au>Lee, Daniel</au><au>Myers, Jonathan S.</au><au>Fudemberg, Scott J.</au><au>Razeghinejad, Reza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of shunt type on rates of tube-cornea touch and corneal decompensation after tube shunt surgery in uveitic glaucoma</atitle><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle><stitle>Graefes Arch Clin Exp Ophthalmol</stitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>259</volume><issue>6</issue><spage>1587</spage><epage>1595</epage><pages>1587-1595</pages><issn>0721-832X</issn><eissn>1435-702X</eissn><abstract>Purpose
To evaluate the effect of tube shunt type [Ahmed (AGV) versus Baerveldt (BGI)] on the frequency of tube-cornea touch and corneal decompensation after tube shunt surgery.
Methods
This retrospective comparative study included 145 eyes of 130 patients with uveitic glaucoma who underwent AGV (75 eyes) or BGI (70 eyes) implantations. Electronic medical records were reviewed to document demographic factors, intraocular pressure (IOP) reduction, frequency of tube-cornea touch, corneal decompensation, and need for subsequent corneal transplantation.
Results
The mean follow-up was 27.7±3.3 months for AGV and 32.8±3.8 months for BGI (
p
=0.30). Tube-cornea touch was observed in 5 eyes after BGI and 1 eye in the AGV group (
p
=0.08). The BGI group reported a significantly higher rate of corneal decompensation (9 versus 0;
p
=0.001) and transplantation (6 versus 0;
p
=0.01) compared to the AGV group. Previous trabeculectomy was a significant risk factor for corneal complications in eyes undergoing BGI implantation (odds ratio [OR]= 8.17, 95% confidence interval [CI]=1.78–37.45,
p
=0.007).
Conclusion
Similar rates of tube-cornea touch were observed in both shunt types; BGI shunts were associated with a greater incidence of corneal complications and transplantation as compared to AGV in this retrospective series of uveitic glaucoma cases.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33515315</pmid><doi>10.1007/s00417-021-05095-2</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9904-2371</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0721-832X |
| ispartof | Graefe's archive for clinical and experimental ophthalmology, 2021-06, Vol.259 (6), p.1587-1595 |
| issn | 0721-832X 1435-702X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2483814762 |
| source | Springer Nature |
| subjects | Cornea Corneal transplantation Electronic medical records Eye Glaucoma Medicine Medicine & Public Health Ophthalmology Risk factors Shunts Surgery Tactile stimuli |
| title | Effect of shunt type on rates of tube-cornea touch and corneal decompensation after tube shunt surgery in uveitic glaucoma |
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