Ab-interno Trabeculotomy Procedures: A Review

Meshksar, Aidin; Razeghinejhad, Mohammad Reza; Azimi, Ali

doi:10.4103/joco.joco_45_23

Cited by 3 publications

References 92 publications

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Trends in Ophthalmic Surgery for The Very Older Patients in Japan Using the National Claims Database

Kabata,

Terauchi,

Nakano

2024

Preprint

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Background To investigate the trends in the number of ophthalmic surgeries performed in the very older patients in Japan using the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB) open data. Methods We used accumulated NDB data from fiscal year (FY) 2017 to 2021. Glaucoma surgery was defined as the surgical code K268. Vitrectomy is the sum of the total numbers from K272 to K281. Cataract surgery was defined as K282. In particular, we calculated the growth rate of the Japanese population aged 85 to 90 and 90 years and over in 2017 and 2021, and the growth rate of the number of surgeries in FY2017 and FY2021. Results Japan's population growth rate from 2017 to 2021 was 14% (aged 85–90) and 24% (aged 90 <), and the growth rate in the number of surgeries in glaucoma surgeries, vitrectomy, and cataract surgery from FY2017 to FY2021 was 45%, 16%, and 38% (aged 85–90), and 50%, 28%, and 46% (aged 90 <), in all cases exceeding population growth rates. Among glaucoma surgeries, outflow reconstruction increased significantly; the growth rate was 166% (aged 85–90) and 60% (aged 90 <). Conclusion Cataract, glaucoma, and vitreous surgeries showed an increasing trend, and a transient decrease was observed due to COVID–19 in FY2020 in the very older patients in Japan. Among glaucoma surgeries, the number of outflow reconstruction has increased significantly in 85–90 years old.

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Trends in Ophthalmic Surgery for The Very Older Patients in Japan Using the National Claims Database

Kabata,

Terauchi,

Nakano

2024

Preprint

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Real-World Outcomes and Predictors of Failure of Gonioscopy- Assisted Transluminal Trabeculotomy in a Large Glaucoma Cohort: A Multicenter Study

Franco,

Pereira

et al. 2024

Preprint

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This retrospective, comparative, multicenter study aimed to evaluate the real-world outcomes and predictors of failure of Gonioscopy-assisted transluminal trabeculotomy (GATT) at 12 months in glaucoma patients. Predictors of failure of absolute success in bilateral cases (422 eyes of 308 patients) included pre-operative intraocular pressure (IOP; IRR = 1.02; p = 0.01), and pre-operative mean deviation (MD; IRR = 0.98; p = 0.007). The significant predictors of failure of relative success included binocularity (IRR = 4.05; p = 0.001) and pre-operative IOP (IRR = 1.04; p = 0.022). Only one eye per patient (308 eyes) was included in the second analysis. IOP reduced from 21.84 ± 7.96 mmHg to 11.97 ± 2.89 mmHg at 12 months; the number of hypotensive eye drop medications decreased from 3.07 ± 1.04 to 1.06 ± 1.08 (p <0.001 for both). The pre-operative IOP was a predictive factor for failure of absolute (IRR = 1.02; p = 0.026) and relative successes (IRR = 1.05; p = 0.014). The number of hypotensive medications only affected absolute success (IRR = 1.25; p = 0.004). The Kaplan–Meier graph revealed relative and absolute success in 88.9% and 43.9% of cases, respectively. No serious complications were observed in the study.

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Comparing Corneal Biomechanic Changes between Solo Cataract Surgery and Microhook Ab Interno Trabeculotomy

Asaoka,

Aoki,

Fujino

et al. 2024

JCM

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Background/Objectives: This study aimed to examine the postoperative changes in the corneal biomechanical properties between solo cataract surgery and solo microhook ab interno trabeculotomy (LOT). Methods: This retrospective case–control study included 37 eyes belonging to 26 patients who underwent solo cataract surgery and 37 eyes belonging to 31 patients who underwent solo µLOT. These two groups were matched according to their preoperative intraocular pressure (IOP), axial length (AL), and age. Corneal Visualization Scheimpflug Technology (Corvis ST) was used to obtain four biomechanical parameters representing the corneal stiffness or corneal deformation at the highest concavity, including stiffness parameter A1 (SP-A1), stress–strain index (SSI), peak distance (PD), and deflection amplitude max (DefAmpMax). These parameters were compared preoperatively and 6 months postoperatively, and between the two surgical groups. Results: Preoperatively, the patients’ IOP, age, and AL, as well as their results in four Corvis ST parameters, were similar between the two groups (p > 0.05). No significant difference was observed in SP-A1; however, PD and DefAmpMax were significantly larger, and SSI was significantly smaller postoperatively in the LOT group than in the cataract group. Conclusions: Corneal stiffness was reduced, and the cornea was more deformed with LOT than cataract surgery.

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Ab-interno Trabeculotomy Procedures: A Review

Cited by 3 publications

References 92 publications

Trends in Ophthalmic Surgery for The Very Older Patients in Japan Using the National Claims Database

Trends in Ophthalmic Surgery for The Very Older Patients in Japan Using the National Claims Database

Real-World Outcomes and Predictors of Failure of Gonioscopy- Assisted Transluminal Trabeculotomy in a Large Glaucoma Cohort: A Multicenter Study

Comparing Corneal Biomechanic Changes between Solo Cataract Surgery and Microhook Ab Interno Trabeculotomy

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