Inter-eye relationship of intraocular pressure change after unilateral trabeculectomy, filtering canaloplasty, or PreserFlo™ microshunt implantation

Purpose This study assesses short-term intraocular pressure (IOP) change in the fellow eye of glaucoma patients after mitomycin C–augmented trabeculectomy, filtering canaloplasty, or PreserFlo™ microshunt implantation in the treated eye. Materials and methods Retrospective chart review of 235 glauco...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2021-10, Vol.259 (10), p.3045-3053
Hauptverfasser: Aghayeva, Fidan A., Chronopoulos, Panagiotis, Schuster, Alexander K., Pfeiffer, Norbert, Hoffmann, Esther M.
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container_issue 10
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container_title Graefe's archive for clinical and experimental ophthalmology
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creator Aghayeva, Fidan A.
Chronopoulos, Panagiotis
Schuster, Alexander K.
Pfeiffer, Norbert
Hoffmann, Esther M.
description Purpose This study assesses short-term intraocular pressure (IOP) change in the fellow eye of glaucoma patients after mitomycin C–augmented trabeculectomy, filtering canaloplasty, or PreserFlo™ microshunt implantation in the treated eye. Materials and methods Retrospective chart review of 235 glaucoma patients (235 eyes) was performed. Patients underwent initial trabeculectomy (187 patients), filtering canaloplasty (25 patients), or PreserFlo™ microshunt implantation (23 patients) in one eye, while the fellow eye was naïve to any previous glaucoma surgery. IOP was evaluated before and on the 1st and 2nd days and at 1 week after surgery. Main outcome measure was IOP change in the fellow eye. Secondary outcomes were proportion of clinically significant IOP elevation in the fellow eye and evaluation of potential risk factors associated with postoperative IOP fluctuation. Results IOP in the fellow eye at 1 week after trabeculectomy was statistically significantly lower than preoperatively ( p  
doi_str_mv 10.1007/s00417-021-05188-y
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Materials and methods Retrospective chart review of 235 glaucoma patients (235 eyes) was performed. Patients underwent initial trabeculectomy (187 patients), filtering canaloplasty (25 patients), or PreserFlo™ microshunt implantation (23 patients) in one eye, while the fellow eye was naïve to any previous glaucoma surgery. IOP was evaluated before and on the 1st and 2nd days and at 1 week after surgery. Main outcome measure was IOP change in the fellow eye. Secondary outcomes were proportion of clinically significant IOP elevation in the fellow eye and evaluation of potential risk factors associated with postoperative IOP fluctuation. Results IOP in the fellow eye at 1 week after trabeculectomy was statistically significantly lower than preoperatively ( p  &lt; 0.0001), while the IOP did not change significantly in the fellow eyes in filtering canaloplasty or PreserFlo groups. The higher the preoperative IOP was in the fellow eye, the larger was the intraocular pressure-lowering effect at 1 week after trabeculectomy ( p  &lt; 0.0001). A clinically significant IOP elevation was noted in 14.2%, 9.5%, and 5% of fellow eyes after trabeculectomy, filtering canaloplasty, or PreserFlo™ microshunt implantation , respectively. Conclusions This study shows an IOP-lowering effect in the fellow eye of glaucoma patients after trabeculectomy. Significant IOP rise might occur in the fellow eye of some glaucoma patients after different types of glaucoma surgery.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-021-05188-y</identifier><identifier>PMID: 33963917</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Eye ; Eye surgery ; Glaucoma ; Medicine ; Medicine &amp; Public Health ; Mitomycin C ; Ophthalmology ; Patients ; Pressure ; Risk factors ; Surgery</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2021-10, Vol.259 (10), p.3045-3053</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-366623bcd31719bf06839bb7b9ab2fb8a98bdee7c841b9e4d58c22b323b2525c3</citedby><cites>FETCH-LOGICAL-c474t-366623bcd31719bf06839bb7b9ab2fb8a98bdee7c841b9e4d58c22b323b2525c3</cites><orcidid>0000-0002-0949-4268</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-021-05188-y$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-021-05188-y$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33963917$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aghayeva, Fidan A.</creatorcontrib><creatorcontrib>Chronopoulos, Panagiotis</creatorcontrib><creatorcontrib>Schuster, Alexander K.</creatorcontrib><creatorcontrib>Pfeiffer, Norbert</creatorcontrib><creatorcontrib>Hoffmann, Esther M.</creatorcontrib><title>Inter-eye relationship of intraocular pressure change after unilateral trabeculectomy, filtering canaloplasty, or PreserFlo™ microshunt implantation</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 This study assesses short-term intraocular pressure (IOP) change in the fellow eye of glaucoma patients after mitomycin C–augmented trabeculectomy, filtering canaloplasty, or PreserFlo™ microshunt implantation in the treated eye. Materials and methods Retrospective chart review of 235 glaucoma patients (235 eyes) was performed. Patients underwent initial trabeculectomy (187 patients), filtering canaloplasty (25 patients), or PreserFlo™ microshunt implantation (23 patients) in one eye, while the fellow eye was naïve to any previous glaucoma surgery. IOP was evaluated before and on the 1st and 2nd days and at 1 week after surgery. Main outcome measure was IOP change in the fellow eye. Secondary outcomes were proportion of clinically significant IOP elevation in the fellow eye and evaluation of potential risk factors associated with postoperative IOP fluctuation. Results IOP in the fellow eye at 1 week after trabeculectomy was statistically significantly lower than preoperatively ( p  &lt; 0.0001), while the IOP did not change significantly in the fellow eyes in filtering canaloplasty or PreserFlo groups. The higher the preoperative IOP was in the fellow eye, the larger was the intraocular pressure-lowering effect at 1 week after trabeculectomy ( p  &lt; 0.0001). A clinically significant IOP elevation was noted in 14.2%, 9.5%, and 5% of fellow eyes after trabeculectomy, filtering canaloplasty, or PreserFlo™ microshunt implantation , respectively. Conclusions This study shows an IOP-lowering effect in the fellow eye of glaucoma patients after trabeculectomy. Significant IOP rise might occur in the fellow eye of some glaucoma patients after different types of glaucoma surgery.</description><subject>Eye</subject><subject>Eye surgery</subject><subject>Glaucoma</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mitomycin C</subject><subject>Ophthalmology</subject><subject>Patients</subject><subject>Pressure</subject><subject>Risk factors</subject><subject>Surgery</subject><issn>0721-832X</issn><issn>1435-702X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1u1TAUhSMEoo_CBhggS0wYELDjJHYmSKiipVIlGIDUmWX73bznyrGDnSBlzhpYAEtjJb3pK-VnwMiS73fO_TlF8ZTRV4xS8TpTWjNR0oqVtGFSlsu9YsNq3pSCVpf3iw0VWJK8ujwqHuV8RZHnDXtYHHHetbxjYlN8Pw8TpBIWIAm8nlwMee9GEnviwpR0tLPXiYwJcp4TELvXYQdE96gic3AogaQ9QdQAsmCnOCwvSe88FlzYEauD9nH0Ok_4HxP5iF6QTn38-e0HGZxNMe_nMBE3IBSmmxkeFw967TM8uX2Pi8-n7z6dvC8vPpydn7y9KG0t6qnkbdtW3NgtZ4J1pqet5J0xwnTaVL2RupNmCyCsrJnpoN420laV4aipmqqx_Lh4c_AdZzPA1sK6s1djcoNOi4raqb8rwe3VLn5VshZSNBINXtwapPhlhjypwWULHjeBOGeFbfDmnHYU0ef_oFdxTniclRKtbHAVgVR1oNa75AT93TCMqjV2dYhdYezqJna1oOjZn2vcSX7ljAA_AHlcQ4H0u_d_bK8BYs6_0w</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Aghayeva, Fidan A.</creator><creator>Chronopoulos, Panagiotis</creator><creator>Schuster, Alexander K.</creator><creator>Pfeiffer, Norbert</creator><creator>Hoffmann, Esther M.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><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><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0949-4268</orcidid></search><sort><creationdate>20211001</creationdate><title>Inter-eye relationship of intraocular pressure change after unilateral trabeculectomy, filtering canaloplasty, or PreserFlo™ microshunt implantation</title><author>Aghayeva, Fidan A. ; Chronopoulos, Panagiotis ; Schuster, Alexander K. ; Pfeiffer, Norbert ; Hoffmann, Esther M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-366623bcd31719bf06839bb7b9ab2fb8a98bdee7c841b9e4d58c22b323b2525c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Eye</topic><topic>Eye surgery</topic><topic>Glaucoma</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Mitomycin C</topic><topic>Ophthalmology</topic><topic>Patients</topic><topic>Pressure</topic><topic>Risk factors</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aghayeva, Fidan A.</creatorcontrib><creatorcontrib>Chronopoulos, Panagiotis</creatorcontrib><creatorcontrib>Schuster, Alexander K.</creatorcontrib><creatorcontrib>Pfeiffer, Norbert</creatorcontrib><creatorcontrib>Hoffmann, Esther M.</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; 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Materials and methods Retrospective chart review of 235 glaucoma patients (235 eyes) was performed. Patients underwent initial trabeculectomy (187 patients), filtering canaloplasty (25 patients), or PreserFlo™ microshunt implantation (23 patients) in one eye, while the fellow eye was naïve to any previous glaucoma surgery. IOP was evaluated before and on the 1st and 2nd days and at 1 week after surgery. Main outcome measure was IOP change in the fellow eye. Secondary outcomes were proportion of clinically significant IOP elevation in the fellow eye and evaluation of potential risk factors associated with postoperative IOP fluctuation. Results IOP in the fellow eye at 1 week after trabeculectomy was statistically significantly lower than preoperatively ( p  &lt; 0.0001), while the IOP did not change significantly in the fellow eyes in filtering canaloplasty or PreserFlo groups. The higher the preoperative IOP was in the fellow eye, the larger was the intraocular pressure-lowering effect at 1 week after trabeculectomy ( p  &lt; 0.0001). A clinically significant IOP elevation was noted in 14.2%, 9.5%, and 5% of fellow eyes after trabeculectomy, filtering canaloplasty, or PreserFlo™ microshunt implantation , respectively. Conclusions This study shows an IOP-lowering effect in the fellow eye of glaucoma patients after trabeculectomy. Significant IOP rise might occur in the fellow eye of some glaucoma patients after different types of glaucoma surgery.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33963917</pmid><doi>10.1007/s00417-021-05188-y</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-0949-4268</orcidid><oa>free_for_read</oa></addata></record>
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subjects Eye
Eye surgery
Glaucoma
Medicine
Medicine & Public Health
Mitomycin C
Ophthalmology
Patients
Pressure
Risk factors
Surgery
title Inter-eye relationship of intraocular pressure change after unilateral trabeculectomy, filtering canaloplasty, or PreserFlo™ microshunt implantation
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