Comparison of lacrimal gland dimensions and volume in unilateral Ahmed glaucoma valve versus trabeculectomy

Purpose To evaluate radiographic lacrimal gland (LG) volume and dimensions in Ahmed glaucoma valve (AGV)- versus trabeculectomy-treated eyes and contralateral non-treated eyes. Methods In this retrospective cohort study, 1616 medical records acquired between 2010 and 2020 were examined. In AGV-treat...

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Veröffentlicht in:International ophthalmology 2024-09, Vol.44 (1), p.373, Article 373
Hauptverfasser: Gobeka, Hamidu Hamisi, Balık, Ayşe Özlem, Mangan, Mehmet Serhat, Karabiber Deveci, Ceren, İmamoğlu, Serhat
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container_title International ophthalmology
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Balık, Ayşe Özlem
Mangan, Mehmet Serhat
Karabiber Deveci, Ceren
İmamoğlu, Serhat
description Purpose To evaluate radiographic lacrimal gland (LG) volume and dimensions in Ahmed glaucoma valve (AGV)- versus trabeculectomy-treated eyes and contralateral non-treated eyes. Methods In this retrospective cohort study, 1616 medical records acquired between 2010 and 2020 were examined. In AGV-treated (group 1) eyes, there were 19 patients with records sufficient for radiological LG evaluation, and in trabeculectomy-treated (group 2) eyes, there were 18. The hospital workstation software was used to assess high-resolution computed tomography (HRCT) scans conducted under standard protocol using a 128 SL Optima CT 660 scanner. The software (Vitrea™) was used to perform semi-quantitative volumetric measurements. LG dimensions were obtained in the axial and reformatted coronal planes on each side, and four measures were generated using the widest LG tip-to-tip diameters in two planes: coronal length, coronal width (CW), axial length (AL), and axial width. Results The time interval between surgery and HRCT imaging was 50.97 ± 26.25 months. Group 1 had significantly lower LG volume than group 2 (594.11 ± 259.45 vs. 933.67 ± 294.09 mm 3 , P  = 0.001). When compared to non-treated eyes, AGV-treated eyes had lower LG volume ( P  = 0.065) while trabeculectomy-treated eyes had higher LG volume ( P  = 0.031). Further, group 1 had decreased length and width in both the axial and coronal planes as compared to group 2, with AL and CW being significantly different ( P  
doi_str_mv 10.1007/s10792-024-03287-3
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Methods In this retrospective cohort study, 1616 medical records acquired between 2010 and 2020 were examined. In AGV-treated (group 1) eyes, there were 19 patients with records sufficient for radiological LG evaluation, and in trabeculectomy-treated (group 2) eyes, there were 18. The hospital workstation software was used to assess high-resolution computed tomography (HRCT) scans conducted under standard protocol using a 128 SL Optima CT 660 scanner. The software (Vitrea™) was used to perform semi-quantitative volumetric measurements. LG dimensions were obtained in the axial and reformatted coronal planes on each side, and four measures were generated using the widest LG tip-to-tip diameters in two planes: coronal length, coronal width (CW), axial length (AL), and axial width. Results The time interval between surgery and HRCT imaging was 50.97 ± 26.25 months. Group 1 had significantly lower LG volume than group 2 (594.11 ± 259.45 vs. 933.67 ± 294.09 mm 3 , P  = 0.001). When compared to non-treated eyes, AGV-treated eyes had lower LG volume ( P  = 0.065) while trabeculectomy-treated eyes had higher LG volume ( P  = 0.031). Further, group 1 had decreased length and width in both the axial and coronal planes as compared to group 2, with AL and CW being significantly different ( P  &lt; 0.05). Conclusions AGV and trabeculectomy had varied impacts on LG volume and dimensions despite being conducted in the same quadrant. HRCT appears to be effective in analysing AGV position, which may be related to LG volumetric and dimensional issues.</description><identifier>ISSN: 1573-2630</identifier><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-024-03287-3</identifier><identifier>PMID: 39240416</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Computed tomography ; Dimensional analysis ; Evaluation ; Exocrine glands ; Eye ; Female ; Follow-Up Studies ; Glaucoma ; Glaucoma - physiopathology ; Glaucoma - surgery ; Glaucoma Drainage Implants ; Humans ; Intraocular Pressure - physiology ; Lacrimal Apparatus - diagnostic imaging ; Lacrimal Apparatus - pathology ; Lacrimal Apparatus - surgery ; Lacrimal gland and Nasolacrimal duct ; Male ; Medical records ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Ophthalmology ; Organ Size ; Original Paper ; Retrospective Studies ; Software ; Tomography, X-Ray Computed ; Trabeculectomy - methods</subject><ispartof>International ophthalmology, 2024-09, Vol.44 (1), p.373, Article 373</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2024. 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Methods In this retrospective cohort study, 1616 medical records acquired between 2010 and 2020 were examined. In AGV-treated (group 1) eyes, there were 19 patients with records sufficient for radiological LG evaluation, and in trabeculectomy-treated (group 2) eyes, there were 18. The hospital workstation software was used to assess high-resolution computed tomography (HRCT) scans conducted under standard protocol using a 128 SL Optima CT 660 scanner. The software (Vitrea™) was used to perform semi-quantitative volumetric measurements. LG dimensions were obtained in the axial and reformatted coronal planes on each side, and four measures were generated using the widest LG tip-to-tip diameters in two planes: coronal length, coronal width (CW), axial length (AL), and axial width. Results The time interval between surgery and HRCT imaging was 50.97 ± 26.25 months. Group 1 had significantly lower LG volume than group 2 (594.11 ± 259.45 vs. 933.67 ± 294.09 mm 3 , P  = 0.001). When compared to non-treated eyes, AGV-treated eyes had lower LG volume ( P  = 0.065) while trabeculectomy-treated eyes had higher LG volume ( P  = 0.031). Further, group 1 had decreased length and width in both the axial and coronal planes as compared to group 2, with AL and CW being significantly different ( P  &lt; 0.05). Conclusions AGV and trabeculectomy had varied impacts on LG volume and dimensions despite being conducted in the same quadrant. 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Methods In this retrospective cohort study, 1616 medical records acquired between 2010 and 2020 were examined. In AGV-treated (group 1) eyes, there were 19 patients with records sufficient for radiological LG evaluation, and in trabeculectomy-treated (group 2) eyes, there were 18. The hospital workstation software was used to assess high-resolution computed tomography (HRCT) scans conducted under standard protocol using a 128 SL Optima CT 660 scanner. The software (Vitrea™) was used to perform semi-quantitative volumetric measurements. LG dimensions were obtained in the axial and reformatted coronal planes on each side, and four measures were generated using the widest LG tip-to-tip diameters in two planes: coronal length, coronal width (CW), axial length (AL), and axial width. Results The time interval between surgery and HRCT imaging was 50.97 ± 26.25 months. Group 1 had significantly lower LG volume than group 2 (594.11 ± 259.45 vs. 933.67 ± 294.09 mm 3 , P  = 0.001). When compared to non-treated eyes, AGV-treated eyes had lower LG volume ( P  = 0.065) while trabeculectomy-treated eyes had higher LG volume ( P  = 0.031). Further, group 1 had decreased length and width in both the axial and coronal planes as compared to group 2, with AL and CW being significantly different ( P  &lt; 0.05). Conclusions AGV and trabeculectomy had varied impacts on LG volume and dimensions despite being conducted in the same quadrant. HRCT appears to be effective in analysing AGV position, which may be related to LG volumetric and dimensional issues.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>39240416</pmid><doi>10.1007/s10792-024-03287-3</doi><orcidid>https://orcid.org/0000-0002-5703-6720</orcidid><orcidid>https://orcid.org/0000-0002-7656-3155</orcidid><orcidid>https://orcid.org/0000-0003-2046-2846</orcidid><orcidid>https://orcid.org/0000-0001-7720-9003</orcidid><orcidid>https://orcid.org/0000-0002-7283-646X</orcidid></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Computed tomography
Dimensional analysis
Evaluation
Exocrine glands
Eye
Female
Follow-Up Studies
Glaucoma
Glaucoma - physiopathology
Glaucoma - surgery
Glaucoma Drainage Implants
Humans
Intraocular Pressure - physiology
Lacrimal Apparatus - diagnostic imaging
Lacrimal Apparatus - pathology
Lacrimal Apparatus - surgery
Lacrimal gland and Nasolacrimal duct
Male
Medical records
Medicine
Medicine & Public Health
Middle Aged
Ophthalmology
Organ Size
Original Paper
Retrospective Studies
Software
Tomography, X-Ray Computed
Trabeculectomy - methods
title Comparison of lacrimal gland dimensions and volume in unilateral Ahmed glaucoma valve versus trabeculectomy
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