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Study of corneal biomechanical properties in patients with childhood glaucoma

International Journal of Ophthalmology(English edition) 2020年第12期13卷 1922-1927页

作者： Sara Garcia Caride Lucia Perucho González Federico Sáenz Francés Julián García Feijoo Ophthalmology Clinico San Carlos HospitalProfesor Martín Lagos StreetMadridES 28040Spain

AIM:To study of corneal biomechanical properties and intraocular pressure(IOP)measured with Corvis Scheimpflug Technology(ST)in patients with childhood glaucoma(CG).METHODS:Cross-sectional study in which 89 eyes were included 56 of them with *** one eye per patient was *** following variables were obtained from the clinical history and the ophthalmological examination:age,sex,IOP,number of surgeries,and the cup/disc ratio(CDR).The following parameters were recorded using Corvis ST:corrected by biomechanics IOP(b IOP),not corrected IOP(nct IOP),central corneal thickness(CCT),maximum concavity[radius,peak distance(PD)and deformation amplitude],applanation 1 and 2(length and velocity).The mean age was 23±14.55 and 33±19.5 years old for the control group and CG group,*** 36 were males and 53 were *** the CG group,7 patients were controlled only with medical *** had at least one previous goniotomy,19 had at least one trabeculectomy,and 11 had an Ahmed ***:A significant and positive intraclass correlation coefficient was found between Goldman IOP and the IOP measured by Corvis in both *** differences were found between the IOP measured with Corvis and Goldman using a student *** biomechanical parameters,there were differences in the applanation length 2(A-L2),in the applanation velocity 2(A-V2)and in the *** sex,only the applanation length 1(A-L1)was found to be different in control group.A positive and significant Pearson correlation was found between CDR and the ***:Corneal biomechanical properties have shown differences between CG and healthy subjects and also between men and women.

关键词： childhood glaucoma biomechanical properties Corvis Scheimpflug Technology

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Cost analysis of childhood glaucoma surgeries using the US Medicaire allowable costs

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International Journal of Ophthalmology(English edition) 2023年第5期16卷 700-704页

作者： Abdelrahman M.Elhusseiny Mohamed M.Khodeiry Nicolas A.Yannuzzi Ta C.Chang Richard K.Lee William E.Smiddy Department of Ophthalmology Bascom Palmer Eye InstituteUniversity of Miami Miller School of MedicineMiamiFlorida 33136USA Department of Ophthalmology Harvey and Bernice Jones Eye InstituteUniversity of Arkansas for Medical SciencesLittle RockArkansas 72205USA

AIM: To analyze and calculate the relative cost of various childhood glaucoma surgical interventions per mm Hg intraocular pressure(IOP) reduction($/mm Hg).METHODS: Representative index studies were reviewed to quantitate the reduction of mean IOP and glaucoma medications for each surgical intervention in childhood glaucoma. A US perspective was adopted, using Medicare allowable costs to calculate cost/mm Hg IOP reduction($/mm Hg) at 1y ***: At 1y postoperatively, the cost/mm Hg IOP reduction was $226/mm Hg for microcatheter-assisted circumferential trabeculotomy, $284/mm Hg for cyclophotocoagulation, $288/mm Hg for conventional ab-externo trabeculotomy, $338/mm Hg for Ahmed glaucoma valve, $350/mm Hg for Baerveldt glaucoma implant, $351/mm Hg for goniotomy, and $400/mm Hg for ***: Microcatheter-assisted circumferential trabeculotomy is the most cost-efficient surgical method to lower IOP in childhood glaucoma, while trabeculectomy is the least cost-efficient surgical method.

关键词： glaucoma cost analysis trabeculotomy trabeculectomy intraocular pressure childhood glaucoma

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