Outcomes of Stent Removal in Eyes With the Paul Glaucoma Implant With Intraluminal 6-0 Polypropylene.

IF 4.9 2区医学 Q1 OPHTHALMOLOGY

Clinical and Experimental Ophthalmology Pub Date : 2025-05-09 DOI:10.1111/ceo.14549

Nicole Shu-Wen Chan, Seah Wei Hing, Naoki Okada, Li Hengtong, Maria Cecilia Aquino, Victor Koh Teck Chang, Katherine Wanxian Lun, Dawn Ka Ann Lim, Paul Tec Kuan Chew, Marcus Chun Jin Tan

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引用次数: 0

Abstract

Background: To evaluate the 12-month outcomes of stent removal in eyes with the Paul Glaucoma Implant (PGI) and intraluminal 6-0 polypropylene in an Asian population.

Methods: Retrospective review of patients ≥ 18 years of age with glaucoma in a tertiary institution, who underwent the PGI stented with intraluminal 6-0 polypropylene (October 2018 to January 2023), with a minimum follow-up duration of 12 months. The main outcome measures were intraocular pressure (IOP) and number of glaucoma medications.

Results: We included 103 eyes of 97 patients, who were mostly Chinese (73.8%). The stent was removed in 43 eyes (41.7%), at a median of 12.3 (interquartile range: 4.1-18.4) postoperative weeks. The mean IOP reduction immediately following stent removal was -6.4 ± 5.0 mmHg, and there was a strong linear correlation with the IOP before stent removal (Pearson correlation -0.554; p < 0.001). No eyes developed hypotony after stent removal.

Conclusions: Less than half of the eyes with PGI stented with intraluminal 6-0 polypropylene required stent removal. The IOP reduction achieved after stent removal correlated with the IOP before stent removal, and there were no complications of hypotony.

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腔内6-0聚丙烯保罗青光眼支架移除的疗效。

背景：评估亚洲人群中使用Paul青光眼植入物（PGI）和腔内6-0聚丙烯进行12个月支架移除的结果。方法：回顾性分析2018年10月至2023年1月在某高等教育机构接受腔内6-0聚丙烯PGI支架治疗的≥18岁青光眼患者，随访时间至少为12个月。主要观察指标为眼压（IOP）和青光眼药物的使用次数。结果：纳入97例患者103只眼，其中华人居多（73.8%）。43只眼（41.7%）在术后中位数12.3周（四分位数间距：4.1-18.4）移除支架。支架取出后即刻的平均IOP降低为-6.4±5.0 mmHg，与支架取出前的IOP有很强的线性相关性(Pearson相关性-0.554；p结论：腔内6-0聚丙烯支架植入术的PGI患者，只有不到一半的眼需要取出支架。支架取出后的IOP降低与支架取出前的IOP相关，无低眼压并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Ophthalmology 医学-眼科学

CiteScore

7.60

自引率

12.50%

发文量

150

审稿时长

4-8 weeks

期刊介绍： Clinical & Experimental Ophthalmology is the official journal of The Royal Australian and New Zealand College of Ophthalmologists. The journal publishes peer-reviewed original research and reviews dealing with all aspects of clinical practice and research which are international in scope and application. CEO recognises the importance of collaborative research and welcomes papers that have a direct influence on ophthalmic practice but are not unique to ophthalmology.