NDLI: Efficacy of Additional Glaucoma Drainage Device Insertion in Refractory Glaucoma: Case Series with a Systematic Literature Review and Meta-Analysis.

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Efficacy of Additional Glaucoma Drainage Device Insertion in Refractory Glaucoma: Case Series with a Systematic Literature Review and Meta-Analysis.

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Efficacy of Additional Glaucoma Drainage Device Insertion in Refractory Glaucoma: Case Series with a Systematic Literature Review and Meta-Analysis.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lee, Na Young Hwang, Hyung Bin Oh, Seung Hoon Park, Chan Kee
Description	Author Affiliation: Lee NY ( a Department of Ophthalmology and Visual Science , Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea , Seoul , Korea .); Hwang HB ( b Department of Ophthalmology and Visual Science , Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea , Seoul , Korea , and.); Oh SH ( a Department of Ophthalmology and Visual Science , Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea , Seoul , Korea .); Park CK ( c Department of Ophthalmology and Visual Science , Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea , Seoul , Korea.)
Abstract	PURPOSE: To report the efficacy of additional glaucoma drainage device (GDD) insertion in eyes with refractory glaucoma and which have a failed primary GDD. METHODS: We conducted a non-comparative, retrospective study on eight eyes of eight patients who had a failed primary GDD and received an additional GDD in the same eye. Intraocular pressure (IOP), visual acuity (VA), the number of anti-glaucomatous medications, and complications were analyzed during the most recent office visit. Success was defined as an IOP between 6 and 21 mmHg and a 20% decrease in IOP after additional GDD insertion, with or without anti-glaucomatous medication. RESULTS: The mean decrease in IOP at the final follow-up was 19.3 mmHg (56.1%). The mean number of anti-glaucomatous medications used at the final follow-up (2.38) was significantly less than the preoperative mean (3.50). Seven patients achieved the criteria for success, whereas one patient had an unsuccessful outcome because of corneal graft failure after additional GDD insertion. CONCLUSIONS: We showed that after the failure of a primary GDD, an additional GDD offered favorable IOP control and stable VA. In agreement with a review of previous literature, GDD insertion is the best option for treating refractory glaucoma, even in patients with a failed primary GDD.
File Format	HTM / HTML
ISSN	08820538
Issue Number	5-6
Volume Number	30
e-ISSN	17445205
Journal	Seminars in Ophthalmology
Language	English
Publisher	Taylor & Francis
Publisher Date	2015-01-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Ophthalmology Glaucoma Drainage Implants Glaucoma Surgery Prosthesis Implantation Adult Aged Child Female Physiopathology Humans Intraocular Pressure Physiology Male Treatment Failure Treatment Outcome Visual Acuity Journal Article Meta-analysis Review
Content Type	Text
Resource Type	Article
Subject	Ophthalmology

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