Trabecular micro-bypass stent implantation during small-incision cataract surgery for open-angle glaucoma or ocular hypertension: Long-term results

Journal of Cataract and Refractive Surgery
Tobias H Neuhann

Abstract

To evaluate long-term safety and efficacy of iStent trabecular micro-bypass stent implantation during cataract surgery in patients with primary open-angle, pseudo-exfoliation glaucoma, ocular hypertension, or secondary or post-traumatic glaucoma. AaM Augenklinik am Marienplatz, Munich, Germany. Prospective, open-label, non-randomized study. Preoperative and postoperative evaluations included intra-ocular pressure (IOP), topical ocular hypotensive medication use, cup/disc ratio, corrected-distance visual acuity (CDVA), complications, and adverse events. A single trabecular micro-bypass stent was implanted through the same temporal, limbal incision used for cataract surgery via phacoemulsification in a consecutive series of 62 eyes of 43 patients. To date, a total of 41 eyes have been followed for 3 years postoperatively, whereas long-term postoperative follow-up on the remaining patients is ongoing. Mean preoperative IOP was 24.1 ± 6.9 mm Hg on a mean of 1.8 medications (±0.9). Analyses of eyes with no secondary surgical intervention showed mean IOP reduction to 14.8 ± 4.2 mm Hg at 12 months (n = 61), 14.5 ± 2.2 mm Hg at 24 months (n = 42), and 14.9 ± 2.3 mm Hg at 36 months (n = 39). Medications were eliminated in 74% of eyes at...Continue Reading

References

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Citations

Jun 18, 2016·Ophthalmology and Therapy·Demetrios T Manasses, Leon Au
Jul 15, 2016·Journal of Ophthalmology·Arthur Fernandes ResendeL Jay Katz
Aug 24, 2019·Advances in Therapy·Ricardo Augusto Paletta GuedesAlfredo Chaoubah
Oct 28, 2019·International Journal of Molecular Sciences·Hong Ryul AhnSang Hoon Jung
Feb 3, 2019·Journal of Cataract and Refractive Surgery·Tanner J FergusonJohn P Berdahl
May 14, 2020·Journal of Cataract and Refractive Surgery·Tanner J FergusonJohn P Berdahl
Sep 17, 2020·Annual Review of Vision Science·David J Mathew, Yvonne M Buys
Apr 20, 2018·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·A G M JünemannB Hohberger
Jun 13, 2017·Journal of Cataract and Refractive Surgery·Tanner J FergusonJohn P Berdahl
Jan 1, 2017·Expert Review of Ophthalmology·Emily M SchehleinOsamah J Saeedi
Jul 22, 2017·Ophthalmology and Therapy·Ejaz Ansari
Feb 8, 2019·Therapeutic Advances in Chronic Disease·Ali Mahdavi FardNader D Nader
May 18, 2017·Journal of Ophthalmology·David Z Chen, Chelvin C A Sng
Jul 14, 2020·Journal of Cataract and Refractive Surgery·Steven R SarkisianUNKNOWN ASCRS Glaucoma Clinical Committee

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