Filtering Bleb Characteristics in Combined Cataract Surgery with Ex-PRESS Implant vs. Non-Penetrating Deep Sclerectomy. A Prospective, Randomized, Multi-Center Study
Rattachement africain : es. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
(1) Background: After filtering surgery, bleb morphology is an indicator of the factors that may determine the final intraocular pressure (IOP). The present study aimed to evaluate and compare filtering bleb characteristics after combined cataract and glaucoma surgery. (2) Methods: We conducted a prospective multi-center randomized trial. Eyes with glaucoma and cataract were randomly assigned to either phacoemulsification and filtration surgery with an EX-PRESS implant (Alcon) or non-penetrating deep sclerectomy (NPDS) with an ESNOPER implant (AJL). The bleb characteristics were assessed with the Moorfields bleb grading system at months 1 and 12 of follow-up, and the relationship with IOP was analyzed. (3) Results: There were significant changes in bleb appearance between the assessments at month 1 and month 12. The changes in bleb appearance were more evident in the EX-PRESS group. The central area in the EX-PRESS group decreased from 2.9 at month 1 to 2.4 at month 12 (p = 0.014). Bleb height in the EX-PRESS group decreased from 2.3 at month 1 to 1.8 at month 12 (p = 0.034). The vascularity of the central area in the NPDS group decreased from 1.8 at month 1 to 1.3 at month 12 (p = 0.02). The maximal bleb area was inversely related (r = −0.39; p = 0.03) to the IOP in the NPDS group at month 1. Vascularity in the central area was directly related (r = 0.39; p = 0.01) to a higher IOP in the EX-PRESS group at month 1. Vascularity in the central area (r = 0.56; p < 0.001) and maximal area (r = 0.37; p = 0.012) at month 1 was directly related to a higher IOP in the EX-PRESS group at month 12. (4) Conclusions: More intense vascularity at month 1 was related to a higher final IOP in the EX-PRESS group. Larger blebs were associated with a lower IOP in the NPDS group.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Filtering Bleb Characteristics in Combined Cataract Surgery with Ex-PRESS Implant vs. Non-Penetrating Deep Sclerectomy. A Prospective, Randomized, Multi-Center Study
- Date Crossref
- 20/01/2023
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Universitat Internacional de Catalunya pays non établi dans la noticeUniversité ou école supérieure
-
Vall d'Hebron Hospital Universitari pays non établi dans la noticeÉtablissement de santé
-
Hospital de Cruces pays non établi dans la noticeÉtablissement de santé
-
Hospital Universitario Ramón y Cajal pays non établi dans la noticeÉtablissement de santé
-
Hospital General Universitario Gregorio Marañón Department of Ophthalmology pays non établi dans la noticeÉtablissement de santé
-
Clinica Universidad de Navarra Department of Ophthalmology pays non établi dans la noticeÉtablissement de santé
-
Department of Glaucoma pays non établi dans la noticeInstitution
-
Hospital Vall d’Hebron Department of Ophthalmology pays non établi dans la noticeÉtablissement de santé
-
Hospital San Eloy Department of Ophthalmology pays non établi dans la noticeÉtablissement de santé
-
Hospital Ramón y Cajal Department of Ophthalmology pays non établi dans la noticeÉtablissement de santé
Universitat Internacional de Catalunya, Vall d'Hebron Hospital Universitari et Hospital de Cruces, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.