Long-term outcome of low-cost glaucoma drainage device (Aurolab aqueous drainage implant) compared with Ahmed glaucoma valve

2019 ◽  
Vol 104 (4) ◽  
pp. 557-562 ◽  
Author(s):  
Surinder Singh Pandav ◽  
Natasha Gautam Seth ◽  
Faisal Thattaruthody ◽  
Manpreet Kaur ◽  
Madhuri Akella ◽  
...  
Keyword(s):  
Postoperative Period ◽  
Low Cost ◽  
Glaucoma Drainage Device ◽  
Ahmed Glaucoma Valve ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Surgical Interventions ◽  
Drainage Device ◽  
Late Postoperative Period

PurposeTo compare the long-term outcome of Aurolab aqueous drainage device (AADI) and Ahmed glaucoma valve (AGV).MethodRetrospective analysis of patients with refractory glaucoma who underwent AGV (AGV-FP7) and AADI (AADI Model 350) implantation. The outcome measures were intraocular pressure (IOP), requirement of antiglaucoma medications (AGMs) and re-surgery for IOP control. The postoperative complications were classified as early (≤3 months), intermediate (>3 months to ≤1 year) or late (>1 year).Results173 patients (189 eyes) underwent AGV implantation (AGV Group) while 201 patients (206 eyes) underwent AADI implantation (AADI group). The IOP in AADI group was significantly lower than AGV group at all time points till 2 years and comparable at 3 years. AADI group had significantly higher number of AGM in preoperative period and significantly lower number in postoperative period till 3 years compared with AGV group. AADI group had more hypotony-related complications but statistically insignificant (p = 0.07). The surgical interventions were significantly higher in AGV (n = 18) compared with AADI group (n = 5) in late postoperative period (p = 0.01). At 3 years, overall success was seen in 58.18% in AGV and 73.08% in AADI group (p = 0.15). Complete success was seen in 7.27% patients in AGV and 25.00% patients in AADI group (p = 0.02).ConclusionBoth AADI and AGV implant had comparable mean IOP at 3 years with lesser requirement of AGM in the AADI group. Both procedures appear to be safe with slight preponderance of hypotony-related complications in AADI group.

scholarly journals THE EFFECT OF THE PRESENCE OF EPILEPTIC ATTACKS ON THE CLINICAL DURATION OF SUPRATENTORIAL BRAIN MENINGIOMAS

2020 ◽  
Vol 73 (3) ◽  
pp. 541-545
Author(s):  
Taras О. Studeniak ◽  
Volodymyr І. Smolanka ◽  
Olesya I. Borovik
Keyword(s):  
Postoperative Period ◽  
Epileptic Seizures ◽  
Neurological Deficits ◽  
General Group ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Complications And Mortality ◽  
The Brain ◽  
Late Postoperative Period

The aim: To study the effect of epileptic seizures in patients with supratentorial brain meningiomas on the clinical course of meningiomas in the early and late postoperative period. Materials and methods: A retrospective analysis of the course of the disease was performed in 242 patients with total removed supratentorial meningioma of the brain (general group). Long-term outcome of the disease was estimated in 176 people (a catamnesis group). Results: The occurrence of a new neurological deficit was observed in 18 (18.0±3.8 %) patients out of 100 among patients with epileptic seizures before surgery and in 19 (13.4±2.9 %) out of 142 among those who had no seizures. The mortality rate was 1 (1.0±1.0 %) in the group of patients with seizures and 3 (2.8±1.4 %) in the group of patients without seizures before surgery. The prevalence of new neurological deficits in the catamnesis group is 14 (19.2±4.6 %) of 73 patients with epileptic seizures before surgery and 17 (16.5±3.7 %) of 103 patients without seizures. Mortality was 3 cases (4.1±2.3 %) in patients with seizures and 9 cases (8.7±2.8 %) among patients without seizures. Conclusions: No data have been obtained that the presence of epileptic seizures affects the incidence of new neurological deficits, complications and mortality after surgical treatment of meningiomas in the early and late postoperative period.

Comparison of the New Low-Cost Nonvalved Glaucoma Drainage Device with Ahmed Glaucoma Valve in Refractory Pediatric Glaucoma in Indian Eyes

2018 ◽  
Vol 1 (3) ◽  
pp. 167-174 ◽  
Author(s):  
Sirisha Senthil ◽  
SriRamani Gollakota ◽  
Mohammad Hasnat Ali ◽  
Kiranmaye Turaga ◽  
Swathi Badakere ◽  
...  
Keyword(s):  
Low Cost ◽  
Glaucoma Drainage Device ◽  
Ahmed Glaucoma Valve ◽  
Drainage Device ◽  
Pediatric Glaucoma

scholarly journals Stabilization of Talocalcaneal Luxation with a Dorsal 1.0 mm Compression Plate in Four Cats

VCOT Open ◽  
2021 ◽  
Vol 04 (01) ◽  
pp. e72-e78
Author(s):  
Matthew Smith ◽  
Nicholas Macdonald
Keyword(s):  
Musculoskeletal Pain ◽  
Low Cost ◽  
Case Series ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Compression Plate ◽  
Cost Treatment

AbstractThe objective of this case series was to report the surgical technique, complications, and long-term outcome of feline talocalcaneal luxation stabilized with a dorsally applied two-hole, 1.0 mm compression plate. It is a retrospective study of four cats that underwent surgical stabilization of talocalcaneal luxation with a dorsally applied two-hole, 1.0 mm compression plate between 2013 and 2019. Medical history and diagnostic imaging (radiographs ± computed tomography scans) were reviewed. The owners of three of the four cats were contacted with a follow-up questionnaire based on the Feline Musculoskeletal Pain Index to assess long-term outcome. No intraoperative or postoperative complications were encountered. All three owner questionnaires were returned and Feline Musculoskeletal Pain Index scores of 0, 1, and 4 were recorded out of a maximum score of 83 (normal cat range is −18 to 4; cats with degenerative joint disease range from 11 to 66). Quality of life was rated by the owners as excellent (⅔) or good (⅓). All cats returned to full activity. Stabilization of feline talocalcaneal luxation with a dorsally applied two-hole, 1.0 mm compression plate was technically straightforward, easily accessible, and a relatively low-cost treatment option which carries a low risk of complications and an excellent prognosis.

scholarly journals Long-term Outcome of Ahmed Glaucoma Valve Implantation in Eyes with Intractably Raised Intraocular Pressure Following Pars Plana Vitrectomy

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Surinder Singh Pandav ◽  
Faisal Thattaruthody ◽  
Simar Rajan Singh ◽  
Kedarisetti Kiran Chandra ◽  
Natasha Gautam Seth ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Pars Plana Vitrectomy ◽  
Ahmed Glaucoma Valve ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Pars Plana ◽  
Valve Implantation ◽  
Ahmed Glaucoma Valve Implantation

Long-Term Outcome of Endorectal Advancement Flap for Complex Anorectal Fistulae

2008 ◽  
Vol 74 (10) ◽  
pp. 921-924 ◽  
Author(s):  
Maher A. Abbas ◽  
Rafael Lemus-Rangel ◽  
Ali Hamadani
Keyword(s):  
Rectovaginal Fistula ◽  
Advancement Flap ◽  
Closure Rate ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Surgical Interventions ◽  
Endorectal Advancement Flap ◽  
Lower Closure

The purpose of this study was to determine the long-term outcome of endorectal advancement flap (ERF) for complex anorectal fistulae. A total of 38 ERF were performed in 36 patients (2003–2007). Mean age was 45 years. The most common fistula type was transsphincteric. Eighty-one per cent of patients had prior surgical interventions. Primary closure rate was 83 per cent. Of the six initial failures, four were noted in patients operated for recurrent rectovaginal fistula. Postoperative complications occurred in seven patients (19%). During a mean follow-up of 27 months, recurrent disease was noted in five patients (14%). All recurrences were noted in patients with left sided fistulae. At last follow-up, all patients had healed their fistula except for two. We conclude that ERF closed most complex anorectal fistulae with an acceptable complication rate and low recurrence rate. Recurrent rectovaginal fistula was associated with a lower closure rate.

scholarly journals Immediate postoperative results and long term outcome after Ross procedure among the pediatric population

2015 ◽  
Vol 18 (3) ◽  
pp. 5 ◽  
Author(s):  
A. A. Lukyanov ◽  
A. M. Karaskov ◽  
Yu. N. Gorbatykh ◽  
Yu. L. Naberukhin ◽  
A. Yu. Omelchenko ◽  
...  
Keyword(s):  
Postoperative Period ◽  
Pediatric Population ◽  
Early Postoperative Period ◽  
Ross Procedure ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Single Center Experience ◽  
Attractive Option ◽  
Children And Young Adults

The Ross procedure has emerged as an attractive option for aortic valve replacement in children and young adults. This work represents immediate postoperative period results and long term outcome after Ross procedure among the pediatric population in the single center experience. The main part of a material is submitted by the statistical analysis of risk factors in the early postoperative period within more than 5 years postoperative analysis of long term condition.

Surgical outcomes of a new affordable non-valved glaucoma drainage device and Ahmed glaucoma valve: comparison in the first year

2018 ◽  
Vol 103 (5) ◽  
pp. 659-665 ◽  
Author(s):  
Vanita Pathak Ray ◽  
Divya P Rao
Keyword(s):  
Success Rate ◽  
Low Income ◽  
Low Cost ◽  
Primary Outcome Measure ◽  
Glaucoma Drainage Device ◽  
Complication Rates ◽  
Case Review ◽  
Ahmed Glaucoma Valve ◽  
Drainage Device

BackgroundA new low-cost, indigenously manufactured, non-valved glaucoma drainage device (GDD) has been introduced and its design is based on the Baerveldt Glaucoma Device. We aim to demonstrate the efficacy and safety of this GDD (Aurolab aqueous drainage implant, AADI) vis-à-vis the valved device, Ahmed glaucoma valve (AGV), in the management of refractory glaucomas.DesignRetrospective, comparative, interventional.Participants Case review of consecutive patients who underwent GDD surgery by a single fellowship-trained surgeon at a Tertiary Centre between January 2014 and November 2016.Primary outcome measure Intraocular pressure (IOP).SecondaryAntiglaucoma medication (AGM), LogMAR best-corrected visual acuity (BCVA), complications.ResultsA total of 88 eyes of 83 patients were included; 36 eyes received AGV and 52 AADI. Preoperative parameters were similar between groups. Median follow-up was 13 and 12 months for AADI and AGV, respectively. Overall success rate was higher in AADI (92.3%) vs AGV (80.5%) (p<0.001). The median IOP in mm Hg (Quartiles; IQR) (AADI 14 (10,15;5) vs AGV 16 (14,20;6)) and AGM (AADI: 0 (0,1;1) vs AGV 2 (1,2.75;1.75)) was significantly lower in the AADI group at last follow-up (p<0.001). LogMAR BCVA improved in both groups; complication rates (AADI 44.2% vs AGV 52.7%) were comparable (p=0.59).ConclusionsBoth procedures were effective in reduction of IOP and need for AGM. Nevertheless, overall success rate was higher in the AADI group and IOP and number of AGM required was significantly lower in the AADI group; this affordable GDD could have a tremendous impact in the management of refractory glaucomas in low-income to middle-income countries.

scholarly journals Consecutive surgical sequelae in children and adolescents with Marfan syndrome after primary cardiovascular surgical interventions

2019 ◽  
Vol 57 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Eva Maria Javier Delmo ◽  
Mariano Francisco del Maria Javier ◽  
Roland Hetzer
Keyword(s):  
Survival Rate ◽  
Children And Adolescents ◽  
Marfan Syndrome ◽  
Term Outcome ◽  
Annuloaortic Ectasia ◽  
Long Term Outcome ◽  
Surgical Interventions ◽  
Aorta Aneurysm ◽  
Valve Insufficiency

Abstract OBJECTIVES This study focuses on the consecutive sequelae of children and adolescents with Marfan syndrome after primary cardiovascular surgical interventions and the long-term outcomes. METHODS A retrospective review of children with Marfan syndrome who underwent primary surgical intervention in childhood (&lt;18 years) and sequential cardiovascular operations between July 1986 and September 2014 was undertaken. RESULTS Thirty-six children (mean age 12.38 ± 4.4, range 0.62–17.14 years, at the first operation; 12 females) underwent a total of 97 sequential cardiovascular operations. Primary pathologies were annuloaortic ectasia, aortic root and ascending aorta aneurysm, aortic valve insufficiency, floppy mitral valve and midaortic syndrome. Initial operations were emergency in 2 and urgent and elective in 10 and 24 patients, respectively. Associated skeletal abnormalities were seen in 8. All underwent a second operation; 17 underwent a third operation; 6 had a fourth; and 2 had a fifth. The survival rate of children &lt;13 years of age at the first operation compared to those who were older and male, was not statistically significant (P = 0.244). The cumulative survival rate based on age at first operation was 63.24 ± 0.16% at a mean follow-up period of 13.9 ± 6.8 (median 11.8, range 2–32.6) years. CONCLUSIONS Patients with Marfan syndrome undergoing surgery during childhood needed sequential reinterventions. However, even with multiple consecutive surgeries, long-term outcome is deemed satisfactory.

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