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Treatment outcomes in the neovascular glaucoma tube vs trabeculectomy study

Graefe's Archive for Clinical and Experimental Ophthalmology Jun 18, 2021

Tokumo K, Komatsu K, Yuasa Y, et al. - In this prospective, randomized, controlled clinical trial, researchers compared surgical outcomes between patients who underwent Baerveldt glaucoma implantation vs trabeculectomy (TLE) for the treatment of neovascular glaucoma. This investigation was carried out at Hiroshima University and Tsukazaki Hospital, Japan. Study participants were randomized to Baerveldt glaucoma implantation (23 patients) or TLE (27 patients). Such two procedures produced comparable surgical success, intraocular-pressure reductions, visual acuity, and the number of medications at the last visit. The TLE group had fewer late complications and patients who lost more than two lines of visual acuity. As a result, TLE may be a safer and more effective way to treat patients with neovascular glaucoma.

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