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Abstract #22564 Published in IGR 11-1
Motility disturbances in the tube versus trabeculectomy study during the first year of follow-up
Rauscher FM; Gedde SJ; Schiffman JC; Feuer WJ; Barton K; Lee RK; Tube Versus Trabeculectomy Study GroupAmerican Journal of Ophthalmology 2009; 147: 458-466
PURPOSE: To describe the preoperative and postoperative motility disturbances encountered in the Tube Versus Trabeculectomy (TVT) Study during the first year of follow-up. DESIGN: Multicenter randomized clinical trial. METHODS: settings: Seventeen clinical centers. POPULATION: Patients 18 to 85 years old who had previous trabeculectomy and/or cataract surgery and uncontrolled glaucoma with intraocular pressure ≥18 mmHg and ≤40 mmHg on maximum tolerated medical therapy. INTERVENTIONS: 350-mm2 Baerveldt glaucoma implant or trabeculectomy with mitomycin C (MMC). MAIN OUTCOME MEASURES: Preoperative and postoperative evaluation of ocular motility and diplopia. RESULTS: Motility disturbances were detected in 55 patients (28%) at baseline. New-onset persistent diplopia was reported in 5 patients (5%) in the tube group and no patients in the trabeculectomy group at 1 year (P = .06). A new postoperative motility disturbance developed or worsened in 7 patients (9.9%) in the tube group and no patients in the trabeculectomy group during the first year of follow-up (P = .005). Postoperative motility disturbances were also associated with increasing age (P < .001) and right eye surgery (P = .044). CONCLUSIONS: Preoperative motility disturbances were common among patients in the TVT Study. New postoperative motility disturbances were more frequent following tube shunt surgery than trabeculectomy with MMC after 1 year of follow-up.
Dr. F.M. Rauscher, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33136, USA
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
