Early experience with the novel glaucoma shunt device: Paul glaucoma implant in the Indonesian populations

AIM: To investigate the safety and efficacy of Paul glaucoma implant(PGI)in the short-term follow-up period and share first experience with this novel aqueous shunt in Indonesian populations.METHODS: A total of 21 patients(22 eyes)with PGI implants from April 2022 to December 2022 and with at least...

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Main Authors: Emma Rusmayani, Viona Viona, Iwan Soebijantoro, Rini Sulastiwaty, Arini Safira Nurul Akbar, Muhammad Yoserizal, Zeiras Eka Djamal, Widya Artini Wiyogo
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2023-10-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2023/10/202310001.pdf
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author Emma Rusmayani
Viona Viona
Iwan Soebijantoro
Rini Sulastiwaty
Arini Safira Nurul Akbar
Muhammad Yoserizal
Zeiras Eka Djamal
Widya Artini Wiyogo
author_facet Emma Rusmayani
Viona Viona
Iwan Soebijantoro
Rini Sulastiwaty
Arini Safira Nurul Akbar
Muhammad Yoserizal
Zeiras Eka Djamal
Widya Artini Wiyogo
author_sort Emma Rusmayani
collection DOAJ
description AIM: To investigate the safety and efficacy of Paul glaucoma implant(PGI)in the short-term follow-up period and share first experience with this novel aqueous shunt in Indonesian populations.METHODS: A total of 21 patients(22 eyes)with PGI implants from April 2022 to December 2022 and with at least a complete 2mo follow-up were retrospectively analyzed. The primary outcome measure was failure, defined as intraocular pressure(IOP)out of the target range of 21 mmHg or less than 20% reduction from baseline for 2 consecutive visits, other glaucoma surgeries required, or removal of the implant.RESULTS: The follow-up period was 2 to 6mo. The mean IOP reduction was 52.27±22.94%, with a range of 9% to 90%. The complete success rate was 59%, and patients with or without a history of glaucoma surgery had 50% and 59% of complete success rates, respectively. Complications of the surgery were diplopia(n=2), early hypotony(n=1), hyphema(n=1), and exposed tube(n=2).CONCLUSION: The complete success of the PGI implantation was 57%. No serious postoperative complications were found in our cases. One case of hypotony resolved in the early postoperative period.
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spelling doaj.art-47eebea41b2a40cbac690f685f8ac0df2023-09-19T03:02:27ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232023-10-0123101603160810.3980/j.issn.1672-5123.2023.10.01202310001Early experience with the novel glaucoma shunt device: Paul glaucoma implant in the Indonesian populationsEmma Rusmayani0Viona Viona1Iwan Soebijantoro2Rini Sulastiwaty3Arini Safira Nurul Akbar4Muhammad Yoserizal5Zeiras Eka Djamal6Widya Artini Wiyogo7Department of Glaucoma, Jakarta Eye Center Eye Hospitals and Clinics, Jakarta 15520, IndonesiaDepartement of Research, Jakarta Eye Center Eye Hospitals and Clinics, Jakarta 15520, IndonesiaDepartment of Glaucoma, Jakarta Eye Center Eye Hospitals and Clinics, Jakarta 15520, IndonesiaDepartment of Glaucoma, Jakarta Eye Center Eye Hospitals and Clinics, Jakarta 15520, IndonesiaDepartment of Glaucoma, Jakarta Eye Center Eye Hospitals and Clinics, Jakarta 15520, IndonesiaDepartment of Glaucoma, Jakarta Eye Center Eye Hospitals and Clinics, Jakarta 15520, IndonesiaDepartment of Glaucoma, Jakarta Eye Center Eye Hospitals and Clinics, Jakarta 15520, IndonesiaDepartment of Glaucoma, Jakarta Eye Center Eye Hospitals and Clinics, Jakarta 15520, IndonesiaAIM: To investigate the safety and efficacy of Paul glaucoma implant(PGI)in the short-term follow-up period and share first experience with this novel aqueous shunt in Indonesian populations.METHODS: A total of 21 patients(22 eyes)with PGI implants from April 2022 to December 2022 and with at least a complete 2mo follow-up were retrospectively analyzed. The primary outcome measure was failure, defined as intraocular pressure(IOP)out of the target range of 21 mmHg or less than 20% reduction from baseline for 2 consecutive visits, other glaucoma surgeries required, or removal of the implant.RESULTS: The follow-up period was 2 to 6mo. The mean IOP reduction was 52.27±22.94%, with a range of 9% to 90%. The complete success rate was 59%, and patients with or without a history of glaucoma surgery had 50% and 59% of complete success rates, respectively. Complications of the surgery were diplopia(n=2), early hypotony(n=1), hyphema(n=1), and exposed tube(n=2).CONCLUSION: The complete success of the PGI implantation was 57%. No serious postoperative complications were found in our cases. One case of hypotony resolved in the early postoperative period.http://ies.ijo.cn/cn_publish/2023/10/202310001.pdfpaul glaucoma implantglaucoma tube shuntglaucoma drainage implantsglaucoma surgeryindonesian populations
spellingShingle Emma Rusmayani
Viona Viona
Iwan Soebijantoro
Rini Sulastiwaty
Arini Safira Nurul Akbar
Muhammad Yoserizal
Zeiras Eka Djamal
Widya Artini Wiyogo
Early experience with the novel glaucoma shunt device: Paul glaucoma implant in the Indonesian populations
Guoji Yanke Zazhi
paul glaucoma implant
glaucoma tube shunt
glaucoma drainage implants
glaucoma surgery
indonesian populations
title Early experience with the novel glaucoma shunt device: Paul glaucoma implant in the Indonesian populations
title_full Early experience with the novel glaucoma shunt device: Paul glaucoma implant in the Indonesian populations
title_fullStr Early experience with the novel glaucoma shunt device: Paul glaucoma implant in the Indonesian populations
title_full_unstemmed Early experience with the novel glaucoma shunt device: Paul glaucoma implant in the Indonesian populations
title_short Early experience with the novel glaucoma shunt device: Paul glaucoma implant in the Indonesian populations
title_sort early experience with the novel glaucoma shunt device paul glaucoma implant in the indonesian populations
topic paul glaucoma implant
glaucoma tube shunt
glaucoma drainage implants
glaucoma surgery
indonesian populations
url http://ies.ijo.cn/cn_publish/2023/10/202310001.pdf
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