Postoperative Complications in the Tube Versus Trabeculectomy (TVT) Study During Five Years of Follow-up

Gedde, Steven J.; Herndon, Leon W.; Brandt, James D.; Budenz, Donald L.; Feuer, William J.; Schiffman, Joyce C.

doi:10.1016/j.ajo.2011.10.024

Cited by 718 publications

(612 citation statements)

References 33 publications

Supporting

Mentioning

543

Contrasting

Unclassified

Order By: Relevance

“…Recent studies have demonstrated good short‐term results with early postoperative complication rates even lower than after trabeculectomy (Gedde et al. 2012a,b). …”

Section: Introductionmentioning

confidence: 99%

Corneal endothelial cell loss after Baerveldt glaucoma drainage device implantation in the anterior chamber

Tan

Webers

Berendschot

et al. 2016

Acta Ophthalmologica

View full text Add to dashboard Cite

PurposeTo investigate central and peripheral corneal endothelial cell density (ECD) in relation to Baerveldt (BV) glaucoma drainage device (GDD) tube corneal (TC) distance.MethodsProspective study of all patients scheduled for glaucoma tube surgery with 36 months follow‐up. A BV GDD was inserted into the anterior chamber (AC). Anterior segment optical coherence tomography (AS‐OCT) scans were made to determine the TC distance. Central and peripheral ECD was measured, preoperatively and at 3, 6, 12, 24 and 36 months postoperatively.ResultsFifty‐three eyes were included [primary open‐angle glaucoma, (n = 13); secondary glaucoma, (n = 30); and primary angle‐closure glaucoma, (n = 10)]. Central ECD significantly decreased during follow‐up, with a mean decrease of 4.54% per year (p < 0.001), and 6.57% in the peripheral quadrant closest to the BV GDD tube (PQC, p < 0.001). In the PQC, a yearly decrease of 1.57% was shown after transiridial tube placement versus 7.43% after placement ‘free’ into the AC (p = 0.006). Endothelial cell (EC) loss was related to TC distance (mean 1.69 mm), with a central loss of 6.20% and 7.25% in the PQC per year with shorter TC distances, versus a central loss of 4.11% and 5.77% in the PQC per year with longer TC distances (outside mean ± 2SD, p < 0.001). A difference in EC loss by glaucoma subtype was not identified.ConclusionThe TC distance is of significant influence on corneal ECD, a shorter TC distance causing more severe EC loss, especially in the PQC. Transiridial placement of the BV GDD tube seems safer than placement ‘free’ into the AC.

show abstract

“…Recent studies have demonstrated good short‐term results with early postoperative complication rates even lower than after trabeculectomy (Gedde et al. 2012a,b). …”

Section: Introductionmentioning

confidence: 99%

Corneal endothelial cell loss after Baerveldt glaucoma drainage device implantation in the anterior chamber

Tan

Webers

Berendschot

et al. 2016

Acta Ophthalmologica

View full text Add to dashboard Cite

show abstract

“…Reported percentages vary from 2.0%, 5.0% and 8.3% to 8.5% (Gedde et al. 2012a,b; Ng et al. 2015; Trubnik et al.…”

Section: Discussionmentioning

confidence: 99%

“…When comparing the number of tube exposures from our donor sclera cohort to the exposure rates reported in other studies using other patch graft materials, we observed a substantially lower rate (Gedde et al. 2012a,b; Trubnik et al. 2015).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Donor sclera versus bovine pericardium as patch graft material in glaucoma implant surgery and the impact of a drainage suture

Wijsard

Haan

Rietveld

et al. 2018

Acta Ophthalmologica

View full text Add to dashboard Cite

PurposeTo compare the use of human donor sclera with bovine pericardium as patch graft material for a glaucoma drainage device (GDD), with respect to the incidence of tube exposure, and to study the role of a drainage suture.MethodsAll GDD surgeries between 2010 and 2014 performed at the VU Medical Center were examined in this comparative, retrospective cohort study. A total of 244 cases were included; 163 in the human donor sclera cohort and 81 in the bovine pericardium cohort with a median follow‐up of 31 and 36 months, respectively. The primary outcome measure was occurrence of tube exposure. Survival analysis for tube exposure was carried out and Kaplan–Meier curves compared. Secondary outcomes were postoperative intraocular pressure (IOP), number of glaucoma medications and the effect of a drainage suture.ResultsIn the bovine pericardium cohort, eleven (13.6%) eyes developed tube exposure compared to none in the human donor sclera cohort. Their Kaplan–Meier survival curves differed significantly from each other (χ² = 21.1, p < 0.001, log‐rank test). Mean IOP and number of glaucoma medications did not differ significantly between patch graft materials at three months of follow‐up. The use of a drainage suture directly lowered IOP after surgery in both cohorts. Within the bovine pericardium cohort, eyes with a drainage suture experienced more tube exposure, although this difference was not statistically significant (p = 0.09).ConclusionHuman donor sclera leads to less tube exposure than bovine pericardium. A drainage suture directly lowers IOP after surgery. With bovine pericardium, but not with donor sclera, exposure tends to be enhanced by a drainage suture.

show abstract

“…Corneal decompensation following GDI surgery has been reported to be in the range 5-27%. 7,14,15 Corneal decompensation was a frequent occurrence in the study of sequential tube shunts by Burgoyne et al 2 In their study, 10 of 22 patients (45.5%) experienced new onset bullous keratopathy or had worsening of pre-existing pseudophakic keratopathy. One study, comparing GDI bleb revision with an additional GDI procedure after failed GDI surgery found corneal edema to be a common complication, especially in the additional tube group.…”

Section: Discussionmentioning

confidence: 99%

Insertion of sequential glaucoma drainage implant in a piggyback manner

Välimäki

2015

Eye

View full text Add to dashboard Cite

Purpose This pilot study, the first of its type, was conducted to determine the clinical outcome of a sequential glaucoma drainage implant (GDI) inserted in piggyback manner, that is into the bleb of a primary GDI. Methods This was a retrospective chart study with a minimum 1-year follow-up involving 16 eyes of 14 uncontrolled glaucoma patients who had previously undergone sequential GDI performed using a technique to convert a one-plate into a two-plate implant system. Surgical success was defined as intraocular pressure (IOP) o21 mm Hg with at least a 30% reduction in IOP from baseline on two consecutive follow-up visits, IOP 45 mm Hg on two consecutive follow-up visits, and neither reoperation of glaucoma nor loss of light perception vision. Results The mean ± SD baseline IOP was 29.2 ± 5.2 mm Hg, and the mean postoperative IOP was 17.3 ± 3.4 mm Hg, with a mean pressure drop of 39.4 ± 10.4% (Po0.001). Life-table analysis showed an 88% success rate after 12 months of follow-up. The mean preoperative best corrected visual acuity (BCVA) was 0.2 ± 0.2 logMAR (Snellen equivalent 6/9.5), compared with 0.3 ± 0.3 logMAR postoperatively (Snellen equivalent 6/12; P = 0.497). Postoperative complications included a flat anterior chamber and choroidal detachment (one eye), uveitis and cataract (one eye), diplopia (one eye), and worsening of pre-existing pseudophakic bullous keratopathy (one eye). Conclusions In glaucoma eyes with useful vision the piggyback GDI seems to provide a significant IOP lowering with minimal complications in patients in whom an initial GDI had failed to control the IOP.

show abstract

Postoperative Complications in the Tube Versus Trabeculectomy (TVT) Study During Five Years of Follow-up

Cited by 718 publications

References 33 publications

Corneal endothelial cell loss after Baerveldt glaucoma drainage device implantation in the anterior chamber

Corneal endothelial cell loss after Baerveldt glaucoma drainage device implantation in the anterior chamber

Donor sclera versus bovine pericardium as patch graft material in glaucoma implant surgery and the impact of a drainage suture

Insertion of sequential glaucoma drainage implant in a piggyback manner

Contact Info

Product

Resources

About