Evidence map›Paper›PMID 38060193›Full record

ArticleOphthalmology and therapy2024

Sulcus Tube Internal Needle Guidewire Technique for Glaucoma Drainage Device Placement: Improving Surgical Ease and Precision.

Christine G Shao, Ariess P Gharabagi, Joshua King, Aaron D Webel

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Outcomes of the Ahmed clearpath glaucoma drainage device in glaucoma: a systematic review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Pooled it
  2. Article
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

4 authors at 3 institutions in 1 country.

Christine G ShaoUniversity of Missouri-Columbia School of Medicine, 1 Hospital Dr, Columbia, MO, 65212, USA.ORCID http://orcid.org/0000-0002-6493-4473
Ariess P GharabagiUniversity of Missouri-Columbia Mason Eye Institute, 3215 Wingate Ct Ste 102, Columbia, MO, 65201, USA.
Joshua KingUniversity of Missouri-Columbia Mason Eye Institute, 3215 Wingate Ct Ste 102, Columbia, MO, 65201, USA.
Aaron D WebelUniversity of Missouri-Columbia Mason Eye Institute, 3215 Wingate Ct Ste 102, Columbia, MO, 65201, USA. adw881@health.missouri.edu.ORCID http://orcid.org/0000-0003-2035-2794
University of Missouri · USUniversity of Missouri Health System · USUniversity of Missouri Hospital · US

Funding

Regulation of Intraocular Pressure via a Novel Adjustable Glaucoma Drainage DeviceR21EY034254 · NEI · UNIVERSITY OF MISSOURI-COLUMBIA · PI LIN, JIAN · 2023 to 2023
$413k
NEI NIH HHS R21 EY034254
6 · The paper itself

Abstract

introductionDespite the rise of micro-invasive glaucoma surgery (MIGS), glaucoma drainage device implantation continues to be a mainstay among glaucoma surgical treatment options. Anterior chamber tube placement, while effective in reducing intraocular pressure (IOP), poses corneal endothelial risks. Ciliary sulcus tube placement shows promise in reduced corneal endothelial cell loss, but proper sulcus placement can be challenging. Our study describes the initial safety and effectiveness results using  a novel sulcus tube internal needle guidewire (STING) technique for glaucoma drainage device insertion into the ciliary sulcus.

methodsWe retrospectively reviewed the charts of all consecutive patients who underwent the STING technique using the Ahmed ClearPath, Ahmed Glaucoma Valve, or Baerveldt glaucoma implant with at least 6 months of follow-up. Demographic characteristics, type of glaucoma, previous medical and surgical treatment, pre- and postoperative IOP, pre- and postoperative medications, complications, and success rates were recorded.

resultsOut of nine eyes, seven resulted in qualified success (77.8%). Preoperative mean IOP was 23.8 ± 6.3 mmHg, and postoperative IOP decreased significantly to 14.9 ± 3.7 mmHg (p = 0.008). The average number of preoperative medications per patient was 4.4 ± 0.7, while the average number of postoperative medications per patient was reduced significantly to 3.6 ± 1.0 (p = 0.039).

conclusionThe STING technique is a novel method for placing a glaucoma drainage device into the ciliary sulcus, leading to IOP lowering with minimal complications. The STING technique is designed to improve surgical ease and increase anatomical precision of sulcus tube placement. Video available for this article.

Indexed as

Ab internoGlaucoma drainage deviceGlaucoma surgeryGuidewireSulcusTube-shunt

Identifiers

PMID38060193
PMCPMC10787709
OpenAlexW4389437750

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.