Vergleich von Trabekulektomie und Kanaloplastik

Taruttis, T.; Chankiewitz, Erik; Hammer, Thomas

doi:10.1007/s00347-017-0449-3

Cited by 9 publications

(3 citation statements)

References 23 publications

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“…Throughout the follow-up period, every second modified canaloplasty case needed supplemental AGM, whereas 89.3% of trabeculectomy cases did not, and the number of medications was significantly lower after trabeculectomy than after modified canaloplasty. The same trend (either significant or not) was visible in all previous comparative studies [ 12 , 16 , 17 , 18 , 20 , 22 , 23 , 24 , 25 , 26 ] except the study of Brüggemann et al, where none of the canaloplasty cases and three of the trabeculectomy cases were on topical AGM [ 21 ]. The meta-analysis by Zhang et al found that AGM was slightly more reduced after trabeculectomy than after canaloplasty by 0.37 medicaments ( p = 0.11) [ 23 ]; the two other meta-analyses by Liu et al and Rulli et al, however, they did not analyze the number or reduction of AGM [ 10 , 19 ].…”

Section: Discussionsupporting

confidence: 74%

“…Contrarily, no reports of endophthalmitis following canaloplasty have been reported yet, however, the presence of a filtering bleb carrying the danger for blebitis has been described in up to 10% of cases after canaloplasty [ 28 ]. Compared to canaloplasty, a higher occurrence of postoperative hypotony after trabeculectomy has been reported with a proportion of 16–37% [ 20 , 26 ]. Zhang et al found 9-times higher odds for hyphema ( p < 0.001) in the canaloplasty groups, whereas the odds were a third ( p = 0.01) for hypotony and a quarter ( p = 0.03) for choroidal effusion/detachment in the canaloplasty groups compared to trabeculectomy groups.…”

Section: Discussionmentioning

confidence: 99%

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Long-Term Efficacy and Safety of Modified Canaloplasty Versus Trabeculectomy in Open-Angle Glaucoma

Stingl

Wagner

Liebezeit³

et al. 2023

Life

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Background: To evaluate the long-term efficacy and safety of modified canaloplasty versus trabeculectomy in open-angle glaucoma. Methods: In total, 210 subjects with open-angle glaucoma were included. 70 were treated with Mitomycin C-augmented modified canaloplasty with enhanced subconjunctival filtration and 140 with Mitomycin C-augmented trabeculectomy. Cases were matched 1:2 by sex and age. Results: In canaloplasty and trabeculectomy groups, 61.4% and 57.9% of participants were female. Mean age was 60.0 ± 13.9 and 63.0 ± 12.2 years, median follow-up time was 4.6 [IQR 4.3, 5.05] years and 5.8 [IQR 5.4, 6.3]. Strict success was achieved in 20.0% and 56.4%, complete success in 24.3% and 66.4%, and qualified success in 34.3% and 73.6% (each p < 0.001). Kaplan–Meier survival analysis showed a better survival probability for trabeculectomy than for canaloplasty (p < 0.001) and Cox regression analysis revealed an HR of 6.03 (95%-CI 3.66, 9.93, p < 0.001) after canaloplasty. Trabeculectomy showed superiority in terms of IOP decrease (9.2 ± 7.9 mmHg vs. 13.7 ± 10.4 mmHg, p = 0.002), use of AGM (50.0% vs. 10.7%, p < 0.001), and the number of revision surgeries (41.4% vs. 21.4%, p = 0.004). Occurrence of complications was similar in both groups (14.5% vs. 7.5%, p = 0.19). Conclusions: Trabeculectomy showed superiority in efficacy and equality in safety compared to modified canaloplasty.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Long-Term Efficacy and Safety of Modified Canaloplasty Versus Trabeculectomy in Open-Angle Glaucoma

Stingl

Wagner

Liebezeit³

et al. 2023

Life

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“…Author/year Egrilmez 2004 [6] El-Saied 2014 [7] Hong 2012 [8] Jankowska 2018 [9] Taruttis 2018 [10] Research El-Saied 2014 [7] 2 0 1 3…”

Section: Table 1 Baseline Characteristics Of Included Studiesmentioning

confidence: 99%

Non-penetrating filtration surgery versus trabeculectomy in postoperative astigmatism: a Meta-analysis

Peng,

Ling,

Duan

2024

Preprint

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Objective Trabeculectomy and non-penetrating trabecular surgery are common operations for glaucoma. This meta-analysis aims to compare the effect of trabeculectomy and non-penetrating trabecular surgery in postoperative astigmatism of patients with glaucoma. Methods We searched the PubMed, Web of Science, Cochrane Library, and China National Knowledge Infrastructure to identify studies that, compared between trabeculectomy and non-penetrating trabecular surgery in patients with glaucoma. The time frame for the search was from the time of construction to April 2024. There were no restrictions regarding study type or type of glaucoma. The primary endpoint was the surgically induced astigmatism assessed 6 months after operation. Results Five eligible studies were included in this meta-analysis and presented data for 359 eyes with various types of glaucoma at different stages. The results revealed an increase in astigmatism in patients with glaucoma after trabeculectomy and non-penetrating trabecular surgery. Trabeculectomy had a higher incidence of astigmatism than in the non-penetrating trabecular surgery group at or around 6 months postoperatively, and the difference was statistically significant. (SMD = 0.51, 95% CI = 0.19 to 0.83, P = 0.002). Conclusion Our results demonstrated that both trabeculectomy and non-penetrating trabecular surgery could increase astigmatism until 6 months after operation. Moreover, non-penetrating trabecular surgery group seems to have less influence on astigmatism. Studies with longer follow-up durations and larger sample sizes are necessary in the future. Trial registration number CRD42024517708

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Therapieerfolg von Kanaloplastik und Trabekulektomie durch denselben Operateur mit demselben Erfahrungslevel im Langzeitverlauf

et al. 2020

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Vergleich von Trabekulektomie und Kanaloplastik

Cited by 9 publications

References 23 publications

Long-Term Efficacy and Safety of Modified Canaloplasty Versus Trabeculectomy in Open-Angle Glaucoma

Long-Term Efficacy and Safety of Modified Canaloplasty Versus Trabeculectomy in Open-Angle Glaucoma

Non-penetrating filtration surgery versus trabeculectomy in postoperative astigmatism: a Meta-analysis

Therapieerfolg von Kanaloplastik und Trabekulektomie durch denselben Operateur mit demselben Erfahrungslevel im Langzeitverlauf

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