| Efficacy and tolerability of nonpenetrating filtering surgery with and without implant in treatment of open angle glaucoma: a quantitative evaluation of the evidence. | |
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MedLine Citation:
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PMID: 19295379 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the efficacy and tolerability of nonpenetrating filtering surgery augmented with implant (NPFSI) compared with nonpenetrating filtering surgery without implant (NPFS) in the treatment of patients with open angle glaucoma. METHODS: Pertinent studies were selected through extensive searches of the Cochrane Library, PubMed, Embase, and American Association of Ophthalmology (AAO) and Association for Research in Vision and Ophthalmology (ARVO) meeting abstracts. Seven controlled clinical trials meeting the predefined criteria were systematically reviewed by meta-analysis. The main outcome measures were percentage intraocular pressure (IOP) reduction, complete success rates, and qualified success rates. The pooled estimates were carried out in RevMan version 4.2 software. RESULTS: The weighted mean difference of the percentage IOP reduction from baseline were 6.7% (95% confidence intervals: -3.8 to 17.2) when comparing NPFSI with NPFS. NPFSI was associated with numerically greater, but nonsignificant, IOP lowering efficacy than NPFS. The pooled risk differences comparing NPFSI with NPFS were 0.13 (-0.02 to 0.28) in complete success rate and 0.09 (-0.04 to 0.21) in qualified success rate. Numerically greater, but nonsignificant, proportions of NPFSI patients than NPFS patients achieved the target end point IOP. NPFSI resulted in the same incidences of postoperative complications as NPFS. CONCLUSIONS: NPFSI was associated with equivalent efficacy to standard NPFS in lowering IOP. Comparable proportions of patients reached the IOP target with NPFSI and NPFS. Both surgeries were well tolerated. |
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Authors:
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Jin-Wei Cheng; Rui-Li Wei; Ji-Ping Cai; You Li |
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Publication Detail:
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Type: Comparative Study; Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of glaucoma Volume: 18 ISSN: 1536-481X ISO Abbreviation: J. Glaucoma Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-03-19 Completed Date: 2009-05-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9300903 Medline TA: J Glaucoma Country: United States |
Other Details:
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Languages: eng Pagination: 233-7 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Shanghai Changzheng Hospital, Second Military Medical University, China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Controlled Clinical Trials as Topic Filtering Surgery / adverse effects, methods* Glaucoma, Open-Angle / physiopathology, surgery* Humans Intraocular Pressure / physiology Prostheses and Implants* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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