Evaluation of Risk Factors for Glaucoma Drainage Device–related Erosions: A Retrospective Case-Control Study
PURPOSE:To identify risk factors for glaucoma drainage device (GDD) erosions. PATIENTS AND METHODS:In a retrospective comparative case series, medical records of 1013 patients who underwent GDD surgery performed by 5 surgeons between 2006 and 2011 were reviewed. The outcome measures assessed include...
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| Veröffentlicht in: | Journal of glaucoma 2015-09, Vol.24 (7), p.498-502 |
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| creator | Trubnik, Valerie Zangalli, Camila Moster, Marlene R Chia, Thomas Ali, Mohsin Martinez, Patricia Richman, Jesse Myers, Jonathan S |
| description | PURPOSE:To identify risk factors for glaucoma drainage device (GDD) erosions.
PATIENTS AND METHODS:In a retrospective comparative case series, medical records of 1013 patients who underwent GDD surgery performed by 5 surgeons between 2006 and 2011 were reviewed. The outcome measures assessed included age, race, sex, contact lens wear, seasonal allergies, medical comorbidities, glaucoma diagnosis, preoperative oral and topical medications, type and number of preoperative surgeries and lasers, concomitant surgeries, tube type and position, patch graft material, and intraoperative use of Avastin, mitomycin-C, or Triescence. The association of variables with erosion status was evaluated using the Fisher exact test for categorical variables and the exact Wilcoxon rank-sum test for continuous variables.
RESULTS:Charts were included from 339 eyes that had complete data sets and at least 6 months of follow-up. Twenty-eight eyes (8.3%) developed conjunctival erosions. The median follow-up time was 2.03 years for the erosion group and 1.71 years for nonerosion group. Erosion was only associated with the presence of concomitant surgical procedures at the time of GDD implantation (35.7% erosion group vs. 17.4% nonerosion group, P=0.02, OR=2.64). The majority of concomitant surgeries were composed of pars plana vitrectomy (35.0%) and cataract surgery (32.0%). Variables that were suggestive of association with erosion (P |
| doi_str_mv | 10.1097/IJG.0000000000000034 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1708159656</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1708159656</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3754-93a36864d4c3432cd8f38e9be39e5882037de4c717b440e8026fbffe1ee10e043</originalsourceid><addsrcrecordid>eNp9UEtOwzAUtBCI8rsBQl6ySbFjJ3HYof4oQkIqILGLXOeFhrpxsZ0idtyBG3ISjFqQYMHbvI9m5o0GoWNKupTk2dn4atQlv4rxLbRHE5ZGXNCH7TCTJIuIiPMO2nfuiZCYxDHdRZ2YszjNU7GHmsFK6lb62jTYVHhSuzkeSuWNdbgyFo-0bJVZSNy3sm7kI-A-rGoFH2_vFrT0UOKBNS7Q3Tm-wBPwYVuC8vUKcE86iHqmCTeNb31bvh6inUpqB0ebfoDuh4O73mV0fTMa9y6uI8WyhEc5kywVKS-5YsGqKkXFBORTYDkkQsSEZSVwldFsyjkBQeK0mlYVUABKgHB2gE7XuktrnltwvljUToHWsgHTuoJmRNAkT5M0QPkaqoJzZ6EqlrZeSPtaUFJ8JV2EpIu_SQfayeZDO11A-UP6jjYAxBrwYrQH6-a6fQFbzEBqP_tf-xPrqItJ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1708159656</pqid></control><display><type>article</type><title>Evaluation of Risk Factors for Glaucoma Drainage Device–related Erosions: A Retrospective Case-Control Study</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Trubnik, Valerie ; Zangalli, Camila ; Moster, Marlene R ; Chia, Thomas ; Ali, Mohsin ; Martinez, Patricia ; Richman, Jesse ; Myers, Jonathan S</creator><creatorcontrib>Trubnik, Valerie ; Zangalli, Camila ; Moster, Marlene R ; Chia, Thomas ; Ali, Mohsin ; Martinez, Patricia ; Richman, Jesse ; Myers, Jonathan S</creatorcontrib><description>PURPOSE:To identify risk factors for glaucoma drainage device (GDD) erosions.
PATIENTS AND METHODS:In a retrospective comparative case series, medical records of 1013 patients who underwent GDD surgery performed by 5 surgeons between 2006 and 2011 were reviewed. The outcome measures assessed included age, race, sex, contact lens wear, seasonal allergies, medical comorbidities, glaucoma diagnosis, preoperative oral and topical medications, type and number of preoperative surgeries and lasers, concomitant surgeries, tube type and position, patch graft material, and intraoperative use of Avastin, mitomycin-C, or Triescence. The association of variables with erosion status was evaluated using the Fisher exact test for categorical variables and the exact Wilcoxon rank-sum test for continuous variables.
RESULTS:Charts were included from 339 eyes that had complete data sets and at least 6 months of follow-up. Twenty-eight eyes (8.3%) developed conjunctival erosions. The median follow-up time was 2.03 years for the erosion group and 1.71 years for nonerosion group. Erosion was only associated with the presence of concomitant surgical procedures at the time of GDD implantation (35.7% erosion group vs. 17.4% nonerosion group, P=0.02, OR=2.64). The majority of concomitant surgeries were composed of pars plana vitrectomy (35.0%) and cataract surgery (32.0%). Variables that were suggestive of association with erosion (P<0.20) included smoking (OR=2.14), pseudoexfoliation glaucoma (OR=2.71), and history of dry eye syndrome (OR=2.22).
CONCLUSION:History of concomitant intraocular surgery with GDD implantation may be a potential risk factor for future erosions.</description><identifier>ISSN: 1057-0829</identifier><identifier>EISSN: 1536-481X</identifier><identifier>DOI: 10.1097/IJG.0000000000000034</identifier><identifier>PMID: 24326968</identifier><language>eng</language><publisher>United States: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Case-Control Studies ; Cataract Extraction ; Conjunctival Diseases - etiology ; Female ; Glaucoma - surgery ; Glaucoma Drainage Implants - adverse effects ; Humans ; Intraocular Pressure ; Lens Implantation, Intraocular ; Male ; Middle Aged ; Prosthesis Implantation - adverse effects ; Retrospective Studies ; Risk Factors ; Treatment Outcome ; Vitrectomy</subject><ispartof>Journal of glaucoma, 2015-09, Vol.24 (7), p.498-502</ispartof><rights>Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3754-93a36864d4c3432cd8f38e9be39e5882037de4c717b440e8026fbffe1ee10e043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24326968$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trubnik, Valerie</creatorcontrib><creatorcontrib>Zangalli, Camila</creatorcontrib><creatorcontrib>Moster, Marlene R</creatorcontrib><creatorcontrib>Chia, Thomas</creatorcontrib><creatorcontrib>Ali, Mohsin</creatorcontrib><creatorcontrib>Martinez, Patricia</creatorcontrib><creatorcontrib>Richman, Jesse</creatorcontrib><creatorcontrib>Myers, Jonathan S</creatorcontrib><title>Evaluation of Risk Factors for Glaucoma Drainage Device–related Erosions: A Retrospective Case-Control Study</title><title>Journal of glaucoma</title><addtitle>J Glaucoma</addtitle><description>PURPOSE:To identify risk factors for glaucoma drainage device (GDD) erosions.
PATIENTS AND METHODS:In a retrospective comparative case series, medical records of 1013 patients who underwent GDD surgery performed by 5 surgeons between 2006 and 2011 were reviewed. The outcome measures assessed included age, race, sex, contact lens wear, seasonal allergies, medical comorbidities, glaucoma diagnosis, preoperative oral and topical medications, type and number of preoperative surgeries and lasers, concomitant surgeries, tube type and position, patch graft material, and intraoperative use of Avastin, mitomycin-C, or Triescence. The association of variables with erosion status was evaluated using the Fisher exact test for categorical variables and the exact Wilcoxon rank-sum test for continuous variables.
RESULTS:Charts were included from 339 eyes that had complete data sets and at least 6 months of follow-up. Twenty-eight eyes (8.3%) developed conjunctival erosions. The median follow-up time was 2.03 years for the erosion group and 1.71 years for nonerosion group. Erosion was only associated with the presence of concomitant surgical procedures at the time of GDD implantation (35.7% erosion group vs. 17.4% nonerosion group, P=0.02, OR=2.64). The majority of concomitant surgeries were composed of pars plana vitrectomy (35.0%) and cataract surgery (32.0%). Variables that were suggestive of association with erosion (P<0.20) included smoking (OR=2.14), pseudoexfoliation glaucoma (OR=2.71), and history of dry eye syndrome (OR=2.22).
CONCLUSION:History of concomitant intraocular surgery with GDD implantation may be a potential risk factor for future erosions.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Case-Control Studies</subject><subject>Cataract Extraction</subject><subject>Conjunctival Diseases - etiology</subject><subject>Female</subject><subject>Glaucoma - surgery</subject><subject>Glaucoma Drainage Implants - adverse effects</subject><subject>Humans</subject><subject>Intraocular Pressure</subject><subject>Lens Implantation, Intraocular</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prosthesis Implantation - adverse effects</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><subject>Vitrectomy</subject><issn>1057-0829</issn><issn>1536-481X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UEtOwzAUtBCI8rsBQl6ySbFjJ3HYof4oQkIqILGLXOeFhrpxsZ0idtyBG3ISjFqQYMHbvI9m5o0GoWNKupTk2dn4atQlv4rxLbRHE5ZGXNCH7TCTJIuIiPMO2nfuiZCYxDHdRZ2YszjNU7GHmsFK6lb62jTYVHhSuzkeSuWNdbgyFo-0bJVZSNy3sm7kI-A-rGoFH2_vFrT0UOKBNS7Q3Tm-wBPwYVuC8vUKcE86iHqmCTeNb31bvh6inUpqB0ebfoDuh4O73mV0fTMa9y6uI8WyhEc5kywVKS-5YsGqKkXFBORTYDkkQsSEZSVwldFsyjkBQeK0mlYVUABKgHB2gE7XuktrnltwvljUToHWsgHTuoJmRNAkT5M0QPkaqoJzZ6EqlrZeSPtaUFJ8JV2EpIu_SQfayeZDO11A-UP6jjYAxBrwYrQH6-a6fQFbzEBqP_tf-xPrqItJ</recordid><startdate>201509</startdate><enddate>201509</enddate><creator>Trubnik, Valerie</creator><creator>Zangalli, Camila</creator><creator>Moster, Marlene R</creator><creator>Chia, Thomas</creator><creator>Ali, Mohsin</creator><creator>Martinez, Patricia</creator><creator>Richman, Jesse</creator><creator>Myers, Jonathan S</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201509</creationdate><title>Evaluation of Risk Factors for Glaucoma Drainage Device–related Erosions: A Retrospective Case-Control Study</title><author>Trubnik, Valerie ; Zangalli, Camila ; Moster, Marlene R ; Chia, Thomas ; Ali, Mohsin ; Martinez, Patricia ; Richman, Jesse ; Myers, Jonathan S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3754-93a36864d4c3432cd8f38e9be39e5882037de4c717b440e8026fbffe1ee10e043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Case-Control Studies</topic><topic>Cataract Extraction</topic><topic>Conjunctival Diseases - etiology</topic><topic>Female</topic><topic>Glaucoma - surgery</topic><topic>Glaucoma Drainage Implants - adverse effects</topic><topic>Humans</topic><topic>Intraocular Pressure</topic><topic>Lens Implantation, Intraocular</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prosthesis Implantation - adverse effects</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><topic>Vitrectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trubnik, Valerie</creatorcontrib><creatorcontrib>Zangalli, Camila</creatorcontrib><creatorcontrib>Moster, Marlene R</creatorcontrib><creatorcontrib>Chia, Thomas</creatorcontrib><creatorcontrib>Ali, Mohsin</creatorcontrib><creatorcontrib>Martinez, Patricia</creatorcontrib><creatorcontrib>Richman, Jesse</creatorcontrib><creatorcontrib>Myers, Jonathan S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of glaucoma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trubnik, Valerie</au><au>Zangalli, Camila</au><au>Moster, Marlene R</au><au>Chia, Thomas</au><au>Ali, Mohsin</au><au>Martinez, Patricia</au><au>Richman, Jesse</au><au>Myers, Jonathan S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of Risk Factors for Glaucoma Drainage Device–related Erosions: A Retrospective Case-Control Study</atitle><jtitle>Journal of glaucoma</jtitle><addtitle>J Glaucoma</addtitle><date>2015-09</date><risdate>2015</risdate><volume>24</volume><issue>7</issue><spage>498</spage><epage>502</epage><pages>498-502</pages><issn>1057-0829</issn><eissn>1536-481X</eissn><abstract>PURPOSE:To identify risk factors for glaucoma drainage device (GDD) erosions.
PATIENTS AND METHODS:In a retrospective comparative case series, medical records of 1013 patients who underwent GDD surgery performed by 5 surgeons between 2006 and 2011 were reviewed. The outcome measures assessed included age, race, sex, contact lens wear, seasonal allergies, medical comorbidities, glaucoma diagnosis, preoperative oral and topical medications, type and number of preoperative surgeries and lasers, concomitant surgeries, tube type and position, patch graft material, and intraoperative use of Avastin, mitomycin-C, or Triescence. The association of variables with erosion status was evaluated using the Fisher exact test for categorical variables and the exact Wilcoxon rank-sum test for continuous variables.
RESULTS:Charts were included from 339 eyes that had complete data sets and at least 6 months of follow-up. Twenty-eight eyes (8.3%) developed conjunctival erosions. The median follow-up time was 2.03 years for the erosion group and 1.71 years for nonerosion group. Erosion was only associated with the presence of concomitant surgical procedures at the time of GDD implantation (35.7% erosion group vs. 17.4% nonerosion group, P=0.02, OR=2.64). The majority of concomitant surgeries were composed of pars plana vitrectomy (35.0%) and cataract surgery (32.0%). Variables that were suggestive of association with erosion (P<0.20) included smoking (OR=2.14), pseudoexfoliation glaucoma (OR=2.71), and history of dry eye syndrome (OR=2.22).
CONCLUSION:History of concomitant intraocular surgery with GDD implantation may be a potential risk factor for future erosions.</abstract><cop>United States</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>24326968</pmid><doi>10.1097/IJG.0000000000000034</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Case-Control Studies Cataract Extraction Conjunctival Diseases - etiology Female Glaucoma - surgery Glaucoma Drainage Implants - adverse effects Humans Intraocular Pressure Lens Implantation, Intraocular Male Middle Aged Prosthesis Implantation - adverse effects Retrospective Studies Risk Factors Treatment Outcome Vitrectomy |
| title | Evaluation of Risk Factors for Glaucoma Drainage Device–related Erosions: A Retrospective Case-Control Study |
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