Evaluation of the Efficacy and Safety of the New Susanna Glaucoma Drainage Device in Refractory Glaucomas: Short-term Results

dc.contributor.authorBiteli, Luis G. [UNIFESP]
dc.contributor.authorPrata, Tiago S. [UNIFESP]
dc.contributor.authorGracitelli, Carolina P. B. [UNIFESP]
dc.contributor.authorKanadani, Fabio N.
dc.contributor.authorBoas, Flavia Villas
dc.contributor.authorHatanaka, Marcelo
dc.contributor.authorParanhos Junior, Augusto [UNIFESP]
dc.description.abstractPurpose:To assess the efficacy and safety of the new Susanna glaucoma drainage device (SGDD) in patients with neovascular and refractory glaucomas.Materials and Methods:In this prospective study, patients with neovascular glaucoma or refractory glaucomas (defined as eyes with previous trabeculectomy failure) were enrolled. All eyes had to have intraocular pressure (IOP) above 21 mm Hg despite maximum tolerated topical medication, or recent documentation of anatomic and/or functional progression. Patients underwent glaucoma surgery with the new SGDD in a standardized manner. Postoperative visits were performed at days 1 and 7en
dc.description.abstractmonths 1, 3, and 6en
dc.description.abstractand every 6 months thereafter. Preoperative and postoperative IOP, number of antiglaucoma medications, surgical complications, and any subsequent related events were recorded. Success criteria were: (I) IOP6 and 21 mm Hgen
dc.description.abstract(II) IOP6 and 18 mm Hg. Each criterion was classified as complete (without medication) or qualified (with medication).Results:A total of 58 patients with a mean age of 64.311.5 years were included [19 with neovascular glaucoma (group 1) and 39 with failure of first trabeculectomy (group 2)]. Overall, mean follow-up was 7.1 +/- 3.8 months, and mean IOP was reduced from 31.5 +/- 1.6 (range, 18 to 68) mm Hg to 12.6 +/- 0.7 (range, 2 to 28) mm Hg at the last follow-up visit (P<0.01). The mean number of antiglaucoma medications used was reduced from 3.4 +/- 0.9 to 1.4 +/- 1.5 (P<0.01). At 6 months postoperatively, qualified success rates for groups 1 and 2 were 73% and 86%, respectively (considering the stricter criterion). Main complications were 2 cases of conjunctival erosion and 2 cases of late hypotony.Conclusions:Our initial findings suggest that the new SGDD is an effective alternative for managing neovascular and refractory glaucomas, with minor postoperative complications in the short-term.en
dc.description.affiliationUniv Fed Sao Paulo, Dept Ophthalmol, Sao Paulo, Brazil
dc.description.affiliationUniv Sao Paulo, Dept Ophthalmol, Sao Paulo, Brazil
dc.description.affiliationSao Jose Univ Hosp, Dept Ophthalmol, Belo Horizonte, MG, Brazil
dc.description.affiliationBrazilian Inst Ophthalmol & Blindness Prevent IBO, Salvador, BA, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Ophthalmol, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.identifier.citationJournal Of Glaucoma. Philadelphia, v. 26, n. 4, p. 356-360, 2017.
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJournal Of Glaucoma
dc.rightsAcesso restrito
dc.subjectrefractory glaucomasen
dc.subjectdrainage deviceen
dc.subjectglaucoma surgeryen
dc.subjectintraocular pressureen
dc.titleEvaluation of the Efficacy and Safety of the New Susanna Glaucoma Drainage Device in Refractory Glaucomas: Short-term Resultsen