Preserflo™ MicroShunt implantation combined with Ologen™ in primary and secondary glaucoma patients in a clinical setting

Purpose: This study aims to assess the effectiveness and safety of combining the Preserflo (TM) MicroShunt implant (MicroShunt) with a simultaneous Ologen (TM) implant in patients with glaucoma. Methods: We conducted a retrospective study on consecutive patients with medically uncontrolled glaucoma...

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Autores: Rojo-Arnao, M, Martinez-de-la-Casa, JM, Albis-Donado, O, Yañez-Castro, G, Maroto-Cejudo, R, Tellez, J, Menoyo-Calatayud, R
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p17839
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17839
http://ddd.uab.cat/record/305621
Access Level:acceso abierto
Palabra clave:Glaucoma
glaucoma surgery
intraocular pressure
MIGS
Ologen
Preserflo MicroShunt
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spelling Preserflo™ MicroShunt implantation combined with Ologen™ in primary and secondary glaucoma patients in a clinical settingRojo-Arnao, MMartinez-de-la-Casa, JMAlbis-Donado, OYañez-Castro, GMaroto-Cejudo, RTellez, JMenoyo-Calatayud, RGlaucomaglaucoma surgeryintraocular pressureMIGSOlogenPreserflo MicroShuntPurpose: This study aims to assess the effectiveness and safety of combining the Preserflo (TM) MicroShunt implant (MicroShunt) with a simultaneous Ologen (TM) implant in patients with glaucoma. Methods: We conducted a retrospective study on consecutive patients with medically uncontrolled glaucoma who underwent MicroShunt + Ologen implantation as a standalone procedure or in combination with phacoemulsification (combined procedure). Success was defined as achieving an intraocular pressure (IOP) of 6-15 mmHg at 18 months post surgery, with a preoperative IOP reduction of at least 20%, and without (complete success) or with (qualified success) the need for antiglaucoma medications. The primary endpoint was the success rate. Results: Forty-eight eyes from 47 patients were included, with 28 eyes (58.3%) undergoing the standalone procedure and 20 eyes (41.7%) undergoing the combined procedure. Overall, there was a significant reduction in preoperative IOP from 19.7 +/- 5.8 mmHg to 11.4 +/- 2.6 mmHg at 18 months ( P < 0.0001). In the standalone procedure group, preoperative IOP decreased from 21.5 +/- 5.2 mmHg to 11.7 +/- 2.5 mmHg ( P < 0.0001), and in the combined procedure group, preoperative IOP decreased from 17.1 +/- 5.8 mmHg to 10.9 +/- 2.7 mmHg ( P = 0.0002), with no significant difference between the two groups regarding final IOP. The mean number of antiglaucoma medications significantly decreased from 3.2 +/- 1.1 to 0.3 +/- 0.7 in the overall study population ( P < 0.0001). At 18 months, 40 eyes (83.3%) were classified as successful. Regarding safety, out of the total number of eyes, two (4.2%) experienced choroidal detachment without visual impairment, two (4.2%) had transient hyphema, one (2.1%) showed reactivation of a corneal herpetic ulcer, one (2.1%) had diplopia, and one (2.1%) exhibited a shallow anterior chamber during the first week. Conclusion: The combination of Ologen (TM) and Preserflo (TM) MicroShunt, either alone or in conjunction with phacoemulsification, demonstrated a favorable profile in terms of IOP reduction and safety.WOLTERS KLUWER MEDKNOW PUBLICATIONS2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17839http://ddd.uab.cat/record/305621INDIAN JOURNAL OF OPHTHALMOLOGYISSN: 03014738ISSNe: 19983689reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p178392026-06-14T12:41:47Z
dc.title.none.fl_str_mv Preserflo™ MicroShunt implantation combined with Ologen™ in primary and secondary glaucoma patients in a clinical setting
title Preserflo™ MicroShunt implantation combined with Ologen™ in primary and secondary glaucoma patients in a clinical setting
spellingShingle Preserflo™ MicroShunt implantation combined with Ologen™ in primary and secondary glaucoma patients in a clinical setting
Rojo-Arnao, M
Glaucoma
glaucoma surgery
intraocular pressure
MIGS
Ologen
Preserflo MicroShunt
title_short Preserflo™ MicroShunt implantation combined with Ologen™ in primary and secondary glaucoma patients in a clinical setting
title_full Preserflo™ MicroShunt implantation combined with Ologen™ in primary and secondary glaucoma patients in a clinical setting
title_fullStr Preserflo™ MicroShunt implantation combined with Ologen™ in primary and secondary glaucoma patients in a clinical setting
title_full_unstemmed Preserflo™ MicroShunt implantation combined with Ologen™ in primary and secondary glaucoma patients in a clinical setting
title_sort Preserflo™ MicroShunt implantation combined with Ologen™ in primary and secondary glaucoma patients in a clinical setting
dc.creator.none.fl_str_mv Rojo-Arnao, M
Martinez-de-la-Casa, JM
Albis-Donado, O
Yañez-Castro, G
Maroto-Cejudo, R
Tellez, J
Menoyo-Calatayud, R
author Rojo-Arnao, M
author_facet Rojo-Arnao, M
Martinez-de-la-Casa, JM
Albis-Donado, O
Yañez-Castro, G
Maroto-Cejudo, R
Tellez, J
Menoyo-Calatayud, R
author_role author
author2 Martinez-de-la-Casa, JM
Albis-Donado, O
Yañez-Castro, G
Maroto-Cejudo, R
Tellez, J
Menoyo-Calatayud, R
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Glaucoma
glaucoma surgery
intraocular pressure
MIGS
Ologen
Preserflo MicroShunt
topic Glaucoma
glaucoma surgery
intraocular pressure
MIGS
Ologen
Preserflo MicroShunt
description Purpose: This study aims to assess the effectiveness and safety of combining the Preserflo (TM) MicroShunt implant (MicroShunt) with a simultaneous Ologen (TM) implant in patients with glaucoma. Methods: We conducted a retrospective study on consecutive patients with medically uncontrolled glaucoma who underwent MicroShunt + Ologen implantation as a standalone procedure or in combination with phacoemulsification (combined procedure). Success was defined as achieving an intraocular pressure (IOP) of 6-15 mmHg at 18 months post surgery, with a preoperative IOP reduction of at least 20%, and without (complete success) or with (qualified success) the need for antiglaucoma medications. The primary endpoint was the success rate. Results: Forty-eight eyes from 47 patients were included, with 28 eyes (58.3%) undergoing the standalone procedure and 20 eyes (41.7%) undergoing the combined procedure. Overall, there was a significant reduction in preoperative IOP from 19.7 +/- 5.8 mmHg to 11.4 +/- 2.6 mmHg at 18 months ( P < 0.0001). In the standalone procedure group, preoperative IOP decreased from 21.5 +/- 5.2 mmHg to 11.7 +/- 2.5 mmHg ( P < 0.0001), and in the combined procedure group, preoperative IOP decreased from 17.1 +/- 5.8 mmHg to 10.9 +/- 2.7 mmHg ( P = 0.0002), with no significant difference between the two groups regarding final IOP. The mean number of antiglaucoma medications significantly decreased from 3.2 +/- 1.1 to 0.3 +/- 0.7 in the overall study population ( P < 0.0001). At 18 months, 40 eyes (83.3%) were classified as successful. Regarding safety, out of the total number of eyes, two (4.2%) experienced choroidal detachment without visual impairment, two (4.2%) had transient hyphema, one (2.1%) showed reactivation of a corneal herpetic ulcer, one (2.1%) had diplopia, and one (2.1%) exhibited a shallow anterior chamber during the first week. Conclusion: The combination of Ologen (TM) and Preserflo (TM) MicroShunt, either alone or in conjunction with phacoemulsification, demonstrated a favorable profile in terms of IOP reduction and safety.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17839
http://ddd.uab.cat/record/305621
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=17839
http://ddd.uab.cat/record/305621
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv WOLTERS KLUWER MEDKNOW PUBLICATIONS
publisher.none.fl_str_mv WOLTERS KLUWER MEDKNOW PUBLICATIONS
dc.source.none.fl_str_mv INDIAN JOURNAL OF OPHTHALMOLOGY
ISSN: 03014738
ISSNe: 19983689
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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