Comparison of efficacy and early surgery-related complications between one-quadrant and two-quadrant microhook ab interno trabeculotomy: a propensity score matched study.
ab interno trabeculotomy
minimally invasive glaucoma surgery
post-surgical transient elevation of intraocular pressure
propensity score matching
Journal
Acta ophthalmologica
ISSN: 1755-3768
Titre abrégé: Acta Ophthalmol
Pays: England
ID NLM: 101468102
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
12
05
2020
accepted:
18
01
2021
pubmed:
13
2
2021
medline:
15
1
2022
entrez:
12
2
2021
Statut:
ppublish
Résumé
We compared the 1-year outcomes and early surgery-related complications between 1-quadrant and 2-quadrant microhook ab interno trabeculotomy (TLO). Medical chart extraction was performed on 47 consecutive patients with 1-quadrant incision and 37 consecutive patients with 2-quadrant incision of trabecular meshwork. Logistic regression analysis was conducted to calculate the propensity score to create a 1:1 match for a comparative analysis of 1-year postoperative success. Success was defined as postoperative intraocular pressure (IOP) between 5-21 mmHg, >20% IOP reduction from baseline, and no additional glaucoma surgery. Outcome-related covariates were age, glaucoma type, mean deviation of visual field tests, preoperative IOP, the number of preoperative glaucoma eye drops and the presence of combined cataract surgery. Thirty eyes from each group were compared. The median preoperative IOP was not different between the 1-quadrant and 2-quadrant groups (28.5 mmHg, quartile range 23-33.5 versus 27 mmHg, 23.3-30.0, p = 0.47). There was no difference in median postoperative IOP at 1 year (15 mmHg versus 16 mmHg, p = 0.80). The success rate was 73% in the 1-quadrant group versus 70% in the 2-quadrant group (p = 1.00). The 2-quadrant group had a significantly higher proportion of patients with transiently elevated IOP (47%) than the 1-quadrant (17%; Fisher's exact test, p = 0.02). There was no difference of hyphema formation (Fisher's exact test, p = 0.18). The 1-year success rate was not significantly different between 1- and 2-quadrant incisions of microhook TLO. However, the 2-quadrant TLO showed significantly higher proportion of post-surgical transient IOP elevation.
Types de publication
Comparative Study
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
898-903Informations de copyright
© 2021 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.
Références
Ahuja Y, Malihi M & Sit AJ (2012): Delayed-onset symptomatic hyphema after ab interno trabeculotomy surgery. Am J Ophthalmol 154: 476-480.e2.
Akimoto M, Tanihara H, Negi A & Nagata M (2012): Surgical results of trabeculotomy ab externo for developmental glaucoma. Arch Ophthal 112: 1540-1544.
Al Yousef Y, Strzalkowska A, Hillenkamp J, Rosentreter A & Loewen NA (2020): Comparison of a second-generation trabecular bypass (iStent inject) to ab interno trabeculectomy (Trabectome) by exact matching. Graefes Arch Clin Exp Ophthalmol 258: 2775-2780.
Arora N, McLaren JW, Hodge DO & Sit AJ (2017): Effect of body position on epsicleral venous pressure in healthy subjects. Invest Ophthalmol Vis Sci 58: 5151-5156.
Chihara E, Nishida A, Kodo M, Yoshimura N, Matsumura M, Yamamoto M & Tsukada T (1993): Trabeculotomy ab externo: an alternative treatment in adult patients with primary open-angle glaucoma. Ophthalmic Surg 24: 735-739.
Chin S, Nitta T, Shinmei Y, Aoyagi M, Nitta A, Ohno S, Ishida S & Yoshida K (2012): Reduction of intraocular pressure using a modified 360-degree suture trabeculotomy technique in primary and secondary open-angle glaucoma: a pilot study. J Glaucoma 21: 401-407.
Francis BA, See RF, Rao NA, Minckler DS & Baerveldt G (2006): Ab interno trabeculectomy: development of a novel device (Trabectome) and surgery for open-angle glaucoma. J Glaucoma 15: 68-73.
Fukuchi T, Ueda J, Nakatsue T, Suda K, Hara H & Abe H (2011): Trabeculotomy combined with phacoemulsification, intraocular lens implantation and sinusotomy for exfoliation glaucoma. Jpn J Ophthalmol 55: 205-212.
Inatani M, Tanihara H, Muto T, Honjo M, Okazaki K, Kido N & Honda Y (2001): Transient intraocular pressure elevation after trabeculotomy and its occurrence with phacoemulsification and intraocular lens implantation. Jpn J Ophthalmol 45: 288-292.
Iwao K, Inatani M, Tanihara H & Japanese Steroid-Induced Glaucoma Multicenter Study Group (2011): Success rates of trabeculotomy for steroid-induced glaucoma: a comparative, multicenter, retrospective cohort study. Am J Ophthalmol 151: 1047-1056.
Mori S, Murai Y, Ueda K, Sakamoto M, Kurimoto T, Yamada-Nakanishi Y & Nakamura M (2020): A comparison of the 1-year surgical outcomes of ab externo trabeculotomy and microhook ab interno trabeculotomy using propensity score analysis. BMJ Open Ophthalmol 5: e000446.
Rosenquist R, Epstein D, Melamed S, Johnson M & Grant WM (1989): Outflow resistance of enucleated human eyes at two different perfusion pressures and different extents of trabeculotomy. Curr Eye Res 8: 1233-1240.
Samuelson TW, Katz LJ, Wells JM, Duh YJ, Giamporcaro JE & US iStent Study Group (2011): Randomized evaluation of the trabecular micro-bypass stent with phacoemulsification in patients with glaucoma and cataract. Ophthalmology 118: 459-467.
Sato T, Kawaji T, Hirata A & Mizoguchi T (2018): 360-degree suture trabeculotomy ab interno to treat open-angle glaucoma: 2-year outcomes. Clin Ophthalmol 12: 915-923.
Shinmei Y, Kijima R, Nitta T, Ishijima K, Ohguchi T, Chin S & Ishida S (2016): Modified 360-degree suture trabeculotomy combined with phacoemulsification and intraocular lens implantation for glaucoma and coexisting cataract. J Cataract Refract Surg 42: 1634-1641.
Tanihara H, Negi A, Akimoto M, Terauchi H, Okudaira A, Kozaki J, Takeuchi A & Nagata M (1993): Surgical effects of trabeculotomy ab externo on adult eyes with primary open angle glaucoma and pseudoexfoliation syndrome. Arch Ophthalmol 111: 1653-1661.
Tanito M, Ikeda Y & Fujihara E (2017b): Effectiveness and safety of combined cataract surgery and microhook ab interno trabeculotomy in Japanese eyes with glaucoma: report of an initial case series. Jpn J Ophthalmol 61: 457-464.
Tanito M, Sano I, Ikeda Y & Fujihara E (2017a): Short-term results of microhook ab interno trabeculotomy, a novel minimally invasive glaucoma surgery in Japanese eyes: initial case series. Acta Ophthalmol 95: 354-360.
Tojo N, Abe S & Hayashi A (2017): Factors that influence of trabectome surgery for glaucoma patients. J Glaucoma 26: 835-844.