Success Rate of Glaucoma Drainage Device Implantation in Kariadi General Hospital Semarang 2020-2022 Oral Presentation - Observational Study - Resident
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Glaucoma Drainage Device, Glaucoma Implantation, Intraocular Pressure
Abstract
Introduction & Objectives
Glaucoma is a leading cause of irreversible blindness, and implantation of drainage devices is an
effective treatment option for patients with advanced glaucoma. The purpose of this study was to
investigate success rate of glaucoma drainage devices implantation in Kariadi Hospital
Methods
This study was an observational analytic study with a retrospective design. All patients who received
Virna implantation between January 2020 and December 2022 were included. Intraocular pressure
(IOP) examination was performed at baseline and at the first day, seventh day, first month, and third
month following surgery. The success rate was divided into three groups: complete success if IOP
was <21mmHg without medication, qualified success if IOP was <21mmHg with medication, and
failure if IOP was >21mmHg with medication.
Results
This study included 42 patients (42 eyes) with an average age of 43.3 years. There were 16 male
(38%) and 26 female (62%) patients in the group. Of these patients, 11 (26.2%) had primary
glaucoma and 31 (73.8%) had secondary glaucoma. There was significant decrease in IOP from
preoperative measurement (37.1±10.1mmHg) compared to IOP on first day (13.0±6.0mmHg),
seventh day (15.4±3.8mmHg), first month (18.2±4.4mmHg), and third month (23.4±8.9mmHg) after
surgery (p<0.05). At three-month follow-up, complete success was 14.29%, qualified success was
50%, and failure was 35.71%.
Conclusion
Glaucoma drainage device implantation was found to successfully reduce IOP in patients with
advanced glaucoma. The qualified success rate was higher than complete success rate, suggesting
that some patients may require medication to achieve target IOP levels.
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Authors
Copyright (c) 2023 Rina Apriliana, Fifin L Rachmi, Denti Puspasari, Maharani
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