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Glaucoma surgery calculator: limited additive IOP effect of phacoemulsification on Ab Interno Trabeculectomy

Bussel, Igor I and Neiweem, Ashley E and Schuman, Joel S and Brown, Eric N and Loewen, Nils A (2016) Glaucoma surgery calculator: limited additive IOP effect of phacoemulsification on Ab Interno Trabeculectomy. In: Annual Meeting of American Glaucoma Society 2016, 03 March 2016 - 06 March 2016, San Francisco, California.

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Abstract

Purpose: To compare reduction of intraocular pressure (IOP) after Trabectome in pseudophakic patients and Trabectome combined with phacoemulsification (Trabectome-phaco) in phakic patients. Methods: Cases were excluded if patients were followed for less than 12 months, diagnosed with neovascular glaucoma, or required additional glaucoma surgery within 12 months after Trabectome or Trabectome-phaco. Missing data such as type of glaucoma, gender, or age was imputed by generating 5 similar but non-identical datasets. Groups were matched using Coarsened Exact Matching based on age, gender, type of glaucoma, race, preoperative number of glaucoma medications and baseline IOP. Linear regression was used to examine IOP reduction after surgery. Results: A total of 612 cases were included in the study with 248 Trabectome cases and 364 Trabectome-phaco cases. Baseline IOP was found to be statistically significant. An average of 0.73±0.03 mmHg IOP reduction is associated with an increment of 1 mmHg in baseline IOP. Type of surgery was not statistically significant after adjusting for baseline IOP, age, baseline number of glaucoma medications and type of glaucoma. Conclusion: Patients with higher baseline IOP are expected to have a greater IOP reduction.


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Details

Item Type: Conference or Workshop Item (Poster)
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Bussel, Igor I
Neiweem, Ashley E
Schuman, Joel Sjss28@pitt.eduJSS280000-0002-8885-3766
Brown, Eric N
Loewen, Nils ANAL58@pitt.eduNAL58
Date: 21 March 2016
Date Type: Publication
Journal or Publication Title: F1000 Research
Publisher: F1000 Research Ltd.
Event Title: Annual Meeting of American Glaucoma Society 2016
Event Dates: 03 March 2016 - 06 March 2016
Event Type: Conference
Schools and Programs: School of Medicine > Medicine
School of Medicine > Ophthalmology
Refereed: No
Uncontrolled Keywords: glaucoma, surgery, calculator, trabectome, ab, interno, trabeculectomy
ISSN: 2046-1402
Official URL: https://f1000research.com/posters/5-379
Additional Information: Competing Interests: Nils Loewen has received honoraria as a wetlab trainer for Neomedix.
Date Deposited: 29 Nov 2016 20:22
Last Modified: 31 Jul 2020 19:12
URI: http://d-scholarship.pitt.edu/id/eprint/30116

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