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Article: Ciliochoroidal detachment after Ahmed glaucoma valve implantation: a retrospective study

TitleCiliochoroidal detachment after Ahmed glaucoma valve implantation: a retrospective study
Authors
KeywordsAhmed glaucoma valve
Ciliochoroidal detachment
Success rate
Issue Date2019
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcophthalmol/
Citation
BMC Ophthalmology, 2019, v. 19, article no. 46, p. 1-9 How to Cite?
AbstractBackground: To investigate the occurrence of ciliochoroidal detachment (CCD), its risk factors and its impact on the success rate after Ahmed glaucoma valve (AGV) implantation. Methods: This is a retrospective observational study carried out at Eye Hospital of Wenzhou Medical University, Zhejiang, China. Patients with uncontrolled glaucoma who underwent AGV implantation alone or combined with phacoemulsification (AGV-Phaco) in the hospital from April 1, 2013 to July 31, 2016 were included. The preoperative and postoperative CCD was defined when the detachment between ciliary body and choroid was detected by the ultrasound biomicroscopy (UBM) and anterior segment optical coherence tomography (AS-OCT) respectively. The main outcomes included the incidence of CCD and the success rate at 6 months after surgery. Results: In total, 97 male and 56 female patients were included. CCD was observed in 92 (57.8%) eyes. The glaucoma diagnosis in the Non-CCD and CCD group included primary open angle glaucoma (21(31.3%) vs 33(35.9%)), primary angle closure glaucoma (10(14.9%) vs 13(14.1%)), secondary glaucoma (25(37.3%) vs (28(30.4%)) and so on. The preoperative median IOP (interquartile range) were 21.7(16.0,32.0) mmHg and 23.0(16.0,33.0) mmHg in the Non-CCD group and CCD group. Previous surgical history (95% confidence interval (CI), 1.24 to 13.34; odds ratio (OR) 4.06; p = 0.02) and shorter axial length (95% CI, 0.62 to 0.97 OR 0.78; p = 0.02) were the two risk factors of CCD. The success rate between the CCD and Non-CCD group was not significantly different (64.3% vs 62.5%, p = 0.86) at 6 months. Conclusions: The incidence of CCD is 57.8% after AGV surgery. Eyes with previous surgical procedure was prone to CCD occurrence and longer axial length was protective against CCD. But at 6 months postoperatively, CCD did not reduce the success rate of AGV surgery and may not be a worrisome complication.
Persistent Identifierhttp://hdl.handle.net/10722/267365
ISSN
2017 Impact Factor: 1.77
2015 SCImago Journal Rankings: 0.938
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorFu, L-
dc.contributor.authorChan, YK-
dc.contributor.authorNie, L-
dc.contributor.authorDai, Q-
dc.contributor.authorQian, ZB-
dc.contributor.authorShih, KC-
dc.contributor.authorLai, JSM-
dc.contributor.authorHuang, R-
dc.contributor.authorPan, WH-
dc.date.accessioned2019-02-18T09:00:32Z-
dc.date.available2019-02-18T09:00:32Z-
dc.date.issued2019-
dc.identifier.citationBMC Ophthalmology, 2019, v. 19, article no. 46, p. 1-9-
dc.identifier.issn1471-2415-
dc.identifier.urihttp://hdl.handle.net/10722/267365-
dc.description.abstractBackground: To investigate the occurrence of ciliochoroidal detachment (CCD), its risk factors and its impact on the success rate after Ahmed glaucoma valve (AGV) implantation. Methods: This is a retrospective observational study carried out at Eye Hospital of Wenzhou Medical University, Zhejiang, China. Patients with uncontrolled glaucoma who underwent AGV implantation alone or combined with phacoemulsification (AGV-Phaco) in the hospital from April 1, 2013 to July 31, 2016 were included. The preoperative and postoperative CCD was defined when the detachment between ciliary body and choroid was detected by the ultrasound biomicroscopy (UBM) and anterior segment optical coherence tomography (AS-OCT) respectively. The main outcomes included the incidence of CCD and the success rate at 6 months after surgery. Results: In total, 97 male and 56 female patients were included. CCD was observed in 92 (57.8%) eyes. The glaucoma diagnosis in the Non-CCD and CCD group included primary open angle glaucoma (21(31.3%) vs 33(35.9%)), primary angle closure glaucoma (10(14.9%) vs 13(14.1%)), secondary glaucoma (25(37.3%) vs (28(30.4%)) and so on. The preoperative median IOP (interquartile range) were 21.7(16.0,32.0) mmHg and 23.0(16.0,33.0) mmHg in the Non-CCD group and CCD group. Previous surgical history (95% confidence interval (CI), 1.24 to 13.34; odds ratio (OR) 4.06; p = 0.02) and shorter axial length (95% CI, 0.62 to 0.97 OR 0.78; p = 0.02) were the two risk factors of CCD. The success rate between the CCD and Non-CCD group was not significantly different (64.3% vs 62.5%, p = 0.86) at 6 months. Conclusions: The incidence of CCD is 57.8% after AGV surgery. Eyes with previous surgical procedure was prone to CCD occurrence and longer axial length was protective against CCD. But at 6 months postoperatively, CCD did not reduce the success rate of AGV surgery and may not be a worrisome complication.-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcophthalmol/-
dc.relation.ispartofBMC Ophthalmology-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectAhmed glaucoma valve-
dc.subjectCiliochoroidal detachment-
dc.subjectSuccess rate-
dc.titleCiliochoroidal detachment after Ahmed glaucoma valve implantation: a retrospective study-
dc.typeArticle-
dc.identifier.emailChan, YK: josephyk@connect.hku.hk-
dc.identifier.emailShih, KC: kcshih@hku.hk-
dc.identifier.emailLai, JSM: laism@hku.hk-
dc.identifier.authorityChan, YK=rp02536-
dc.identifier.authorityShih, KC=rp01374-
dc.identifier.authorityLai, JSM=rp00295-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s12886-019-1060-y-
dc.identifier.pmid30736749-
dc.identifier.pmcidPMC6368733-
dc.identifier.scopuseid_2-s2.0-85061249810-
dc.identifier.hkuros296958-
dc.identifier.volume19-
dc.identifier.spagearticle no. 46, p. 1-
dc.identifier.epagearticle no. 46, p. 9-
dc.identifier.isiWOS:000458148500001-
dc.publisher.placeUnited Kingdom-

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