Evidence map›Paper›PMID 34720493›Full record

ArticleJournal of current glaucoma practice

Surgical Approach and Outcomes of Uveitic Glaucoma in a Tertiary Hospital.

Nestor Ventura-Abreu, Joana Mendes-Pereira, Marta Pazos, Ma Jesús Muniesa-Royo, Andrea Gonzalez-Ventosa, Barbara Romero-Nuñez, Elena Milla

Open access · diamondAbstract read
In one paragraph

Article in Journal of current glaucoma practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Observational
  2. Article
  3. XENGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  4. Update on Diagnosis and Treatment of Uveitic Glaucoma.Journal of clinical medicine · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Nestor Ventura-AbreuDepartment of Ophthalmology, Hospital Clinic, Barcelona, Catalonia, Spain.
Joana Mendes-PereiraDepartment of Ophthalmology, Leiria Hospital Centre, Leiria, Portugal.
Marta PazosDepartment of Ophthalmology, Hospital Clinic, Barcelona, Catalonia, Spain.
Ma Jesús Muniesa-RoyoDepartment of Ophthalmology, Hospital Clinic, Barcelona, Catalonia, Spain.
Andrea Gonzalez-VentosaDepartment of Ophthalmology, Hospital Clinic, Barcelona, Catalonia, Spain.
Barbara Romero-NuñezDepartment of Ophthalmology, Hospital Clinic, Barcelona, Catalonia, Spain.
Elena MillaDepartment of Ophthalmology, Hospital Clinic de Barcelona, Innove Ocular-ICO Barcelona, Spain.
Hospital Clínic de Barcelona · ESInstituto Politécnico de Leiria · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIM AND

objectiveThis study aimed to evaluate the performance of and indication for different surgical techniques in the management of uveitic glaucoma (UG). MATERIALS AND

methodsA retrospective audit of records of all patients with UG who underwent ≥1 glaucoma surgery, between January 2007 and December 2016. The main outcomes were intraocular pressure (IOP) and the need for antihypertensive medication at each follow-up visit. The total number of surgical interventions needed to control IOP was recorded. Postoperative interventions and complications were analyzed.

resultsForty eyes from 34 patients were assessed. Overall, baseline IOP was 30.7 ± 8.2 mm Hg, and postoperative mean IOP at the last visit was 16.4 ± 2.0 mm Hg, with a mean follow-up of 28 months. Antihypertensive medications were reduced from 2.8 ± 0.8 to 0.8 ± 1.2. During the follow-up, 61.8% of the eyes required only one glaucoma surgery. There was no correlation between the location of uveitis and the total number of glaucoma surgeries required. The greatest IOP reductions were in cases treated with non-penetrating deep sclerectomy (21%), Ahmed valve (23%), and cyclophotocoagulation (CPC) (51%); in cases where an Ahmed implant was the first surgical option, a 43% reduction was achieved.

conclusionFiltering procedures, glaucoma drainage devices, and CPC are all good options for IOP control in UG, but all are prone to failure over time. With respect to IOP reduction, the safety profile, and postoperative care, Ahmed implants and CPC might be the best first surgical option. CLINICAL SIGNIFICANCE: The article highlights the versatility of the surgical techniques required to treat UG, which is one of the most difficult types of glaucoma to manage. HOW TO CITE THIS ARTICLE: Ventura-Abreu N, Mendes-Pereira J, Pazos M,

Indexed as

Glaucoma filtering surgeryImplant drainage devicesUveitic glaucoma

Identifiers

PMID34720493
PMCPMC8543743
OpenAlexW3211085384

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.