Glaucoma Medication and Quality of Life after Phacoemulsification Combined with a Xen Gel Stent

Glaucoma has a significant impact on quality of life. Here, we aimed to evaluate the influence of a reduction in glaucoma medications on quality of life and patient satisfaction after phacoemulsification combined with the Xen gel stent. We carried out a cross-sectional survey of patients who underwe...

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Main Authors: Christian Pahljina, Stephanie Sarny, Lukas Hoeflechner, Thomas Falb, Gernot Schliessleder, Marlene Lindner, Domagoj Ivastinovic, Kaweh Mansouri, Ewald Lindner
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/12/3450
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author Christian Pahljina
Stephanie Sarny
Lukas Hoeflechner
Thomas Falb
Gernot Schliessleder
Marlene Lindner
Domagoj Ivastinovic
Kaweh Mansouri
Ewald Lindner
author_facet Christian Pahljina
Stephanie Sarny
Lukas Hoeflechner
Thomas Falb
Gernot Schliessleder
Marlene Lindner
Domagoj Ivastinovic
Kaweh Mansouri
Ewald Lindner
author_sort Christian Pahljina
collection DOAJ
description Glaucoma has a significant impact on quality of life. Here, we aimed to evaluate the influence of a reduction in glaucoma medications on quality of life and patient satisfaction after phacoemulsification combined with the Xen gel stent. We carried out a cross-sectional survey of patients who underwent phacoemulsification with the Xen gel stent at the Medical University of Graz, Austria. Quality of life was assessed using the German version of the Glaucoma Symptoms Scale (GSS)—questionnaire. Patients were also asked whether the operation reduced glaucoma medications and to indicate their overall satisfaction from 1 (totally discontented) up to 10 (totally contented). Questionnaires of 80 patients were evaluated. A total of 36 patients (45.0%) reported a reduction in glaucoma medications. Three items of the GSS were significantly better in patients who needed fewer glaucoma medications after the operation (“hard to see in daylight”, 75.0 ± 31.1 vs. 57.7 ± 39.1, <i>p</i> = 0.035; “hard to see in dark places”, 81.1 ± 28.7 vs. 54.9 ± 41.2, <i>p</i> = 0.002; and “halos around lights”, 88.3 ± 25.9 vs. 68.8 ± 38.6, <i>p</i> = 0.002). Patient satisfaction was significantly higher when the procedure led to a reduction in glaucoma medication (8.3 ± 2.0 vs. 6.8 ± 3.1; <i>p</i> = 0.034). The reported quality of life and patient satisfaction were significantly better when phacoemulsification with the Xen gel stent reduced the number of glaucoma medications needed.
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spelling doaj.art-b205b513aa6c422ea05149c8f3c57bac2023-11-23T17:16:12ZengMDPI AGJournal of Clinical Medicine2077-03832022-06-011112345010.3390/jcm11123450Glaucoma Medication and Quality of Life after Phacoemulsification Combined with a Xen Gel StentChristian Pahljina0Stephanie Sarny1Lukas Hoeflechner2Thomas Falb3Gernot Schliessleder4Marlene Lindner5Domagoj Ivastinovic6Kaweh Mansouri7Ewald Lindner8Department of Ophthalmology, Medical University Graz, 8036 Graz, AustriaDepartment of Ophthalmology, Medical University Graz, 8036 Graz, AustriaDepartment of Ophthalmology, Medical University Graz, 8036 Graz, AustriaDepartment of Ophthalmology, Medical University Graz, 8036 Graz, AustriaDepartment of Ophthalmology, Medical University Graz, 8036 Graz, AustriaDepartment of Dentistry, Medical University Graz, 8036 Graz, AustriaDepartment of Ophthalmology, Medical University Graz, 8036 Graz, AustriaGlaucoma Research Center, Montchoisi Clinic, Swiss Visio, 1006 Lausanne, SwitzerlandDepartment of Ophthalmology, Medical University Graz, 8036 Graz, AustriaGlaucoma has a significant impact on quality of life. Here, we aimed to evaluate the influence of a reduction in glaucoma medications on quality of life and patient satisfaction after phacoemulsification combined with the Xen gel stent. We carried out a cross-sectional survey of patients who underwent phacoemulsification with the Xen gel stent at the Medical University of Graz, Austria. Quality of life was assessed using the German version of the Glaucoma Symptoms Scale (GSS)—questionnaire. Patients were also asked whether the operation reduced glaucoma medications and to indicate their overall satisfaction from 1 (totally discontented) up to 10 (totally contented). Questionnaires of 80 patients were evaluated. A total of 36 patients (45.0%) reported a reduction in glaucoma medications. Three items of the GSS were significantly better in patients who needed fewer glaucoma medications after the operation (“hard to see in daylight”, 75.0 ± 31.1 vs. 57.7 ± 39.1, <i>p</i> = 0.035; “hard to see in dark places”, 81.1 ± 28.7 vs. 54.9 ± 41.2, <i>p</i> = 0.002; and “halos around lights”, 88.3 ± 25.9 vs. 68.8 ± 38.6, <i>p</i> = 0.002). Patient satisfaction was significantly higher when the procedure led to a reduction in glaucoma medication (8.3 ± 2.0 vs. 6.8 ± 3.1; <i>p</i> = 0.034). The reported quality of life and patient satisfaction were significantly better when phacoemulsification with the Xen gel stent reduced the number of glaucoma medications needed.https://www.mdpi.com/2077-0383/11/12/3450glaucomaquality of lifesurveys and questionnairesminimal invasive glaucoma surgeryXen gel stent
spellingShingle Christian Pahljina
Stephanie Sarny
Lukas Hoeflechner
Thomas Falb
Gernot Schliessleder
Marlene Lindner
Domagoj Ivastinovic
Kaweh Mansouri
Ewald Lindner
Glaucoma Medication and Quality of Life after Phacoemulsification Combined with a Xen Gel Stent
Journal of Clinical Medicine
glaucoma
quality of life
surveys and questionnaires
minimal invasive glaucoma surgery
Xen gel stent
title Glaucoma Medication and Quality of Life after Phacoemulsification Combined with a Xen Gel Stent
title_full Glaucoma Medication and Quality of Life after Phacoemulsification Combined with a Xen Gel Stent
title_fullStr Glaucoma Medication and Quality of Life after Phacoemulsification Combined with a Xen Gel Stent
title_full_unstemmed Glaucoma Medication and Quality of Life after Phacoemulsification Combined with a Xen Gel Stent
title_short Glaucoma Medication and Quality of Life after Phacoemulsification Combined with a Xen Gel Stent
title_sort glaucoma medication and quality of life after phacoemulsification combined with a xen gel stent
topic glaucoma
quality of life
surveys and questionnaires
minimal invasive glaucoma surgery
Xen gel stent
url https://www.mdpi.com/2077-0383/11/12/3450
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