Glaucoma drainage implant surgery - an evidence- based update with relevance to sub-saharan Africa
MEAJO-Middle East African Journal of Ophthalmology. 2013; 20 (2): 126-130
in English
| IMEMR
| ID: emr-126899
ABSTRACT
Glaucoma represents a leading cause of preventable vision loss in Sub 'Saharan Africa. Recent studies evaluating outcomes of glaucoma drainage implant [GDI] surgery suggest an important role for this approach in the African patient population. The Tube Versus Trabeculectomy study demonstrated a higher success rate with non-valved GDI surgery compared to trabeculectomy with mitomycin C after five years. The Ahmed Baerveldt Comparison study showed no difference in surgical failure rates between the Ahmed Glaucoma Valve and the Baerveldt Glaucoma Implant [BGI] but better intraocular pressure outcomes with the BGI at one year. The Ahmed Versus Baerveldt study demonstrated a lower failure rate for the BGI, but also a requirement for more post-operative interventions. Further study of GDI surgery in the Sub-Saharan Africa is necessary to determine its optimal place in the treatment paradigm for glaucoma patients in the region
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Index:
IMEMR (Eastern Mediterranean)
Type of study:
Evidence synthesis
Language:
English
Journal:
Middle East Afr. J. Ophthalmol.
Year:
2013
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