Practice Preferences for Glaucoma Surgery: A Survey of the American Glaucoma Society

Kateki Vinod, Steven J Gedde, William J Feuer, Joseph F. Panarelli, Ta Chang, Philip P. Chen, Richard K Parrish

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Purpose: The purpose of this study is to assess surgical practice patterns among the American Glaucoma Society (AGS) membership. Methods: An anonymous online survey evaluating the use of glaucoma surgeries in various clinical settings was redistributed to AGS members. Survey responses were compared with prior results from 1996, 2002, and 2008 to determine shifts in surgical practice patterns. Questions were added to assess the preferred approach to primary incisional glaucoma surgery and phacoemulsification combined with glaucoma surgery. Results: A total of 252 of 1091 (23%) subscribers to the AGS-net participated in the survey. Percentage use (mean±SD) of trabeculectomy with mitomycin C (MMC), glaucoma drainage device (GDD), and minimally invasive glaucoma surgery (MIGS) as an initial surgery in patients with primary open angle glaucoma was 59%±30%, 23%±23%, and 14%±20%, respectively. Phacoemulsification cataract extraction alone was the preferred surgical approach in 44%±32% of patients with primary open angle glaucoma and visually significant cataract, and phacoemulsification cataract extraction was combined with trabeculectomy with MMC in 24%±23%, with MIGS in 22%±27%, and with GDD in 9%±14%. Although trabeculectomy was selected most frequently to surgically manage glaucoma in 8 of 8 clinical settings in 1996, GDD was preferred in 7 of 8 clinical settings in 2016. Conclusions: The use of GDD has increased and that of trabeculectomy has concurrently decreased over the past 2 decades. Trabeculectomy with MMC is the most popular primary incisional surgery when performed alone or in combination with phacoemulsification cataract extraction. Surgeons frequently manage coexistent cataract and glaucoma with cataract extraction alone, rather than as a combined cataract and glaucoma procedure.

Original languageEnglish (US)
Pages (from-to)687-693
Number of pages7
JournalJournal of Glaucoma
Volume26
Issue number8
DOIs
StatePublished - 2017

Fingerprint

Glaucoma
Trabeculectomy
Phacoemulsification
Cataract Extraction
Drainage
Mitomycin
Cataract
Equipment and Supplies
Minimally Invasive Surgical Procedures
Surveys and Questionnaires

Keywords

  • glaucoma drainage implant
  • glaucoma filtering surgery
  • minimally invasive glaucoma surgery
  • mitomycin C
  • trabeculectomy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Practice Preferences for Glaucoma Surgery : A Survey of the American Glaucoma Society. / Vinod, Kateki; Gedde, Steven J; Feuer, William J; Panarelli, Joseph F.; Chang, Ta; Chen, Philip P.; Parrish, Richard K.

In: Journal of Glaucoma, Vol. 26, No. 8, 2017, p. 687-693.

Research output: Contribution to journalArticle

Vinod, Kateki ; Gedde, Steven J ; Feuer, William J ; Panarelli, Joseph F. ; Chang, Ta ; Chen, Philip P. ; Parrish, Richard K. / Practice Preferences for Glaucoma Surgery : A Survey of the American Glaucoma Society. In: Journal of Glaucoma. 2017 ; Vol. 26, No. 8. pp. 687-693.
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abstract = "Purpose: The purpose of this study is to assess surgical practice patterns among the American Glaucoma Society (AGS) membership. Methods: An anonymous online survey evaluating the use of glaucoma surgeries in various clinical settings was redistributed to AGS members. Survey responses were compared with prior results from 1996, 2002, and 2008 to determine shifts in surgical practice patterns. Questions were added to assess the preferred approach to primary incisional glaucoma surgery and phacoemulsification combined with glaucoma surgery. Results: A total of 252 of 1091 (23{\%}) subscribers to the AGS-net participated in the survey. Percentage use (mean±SD) of trabeculectomy with mitomycin C (MMC), glaucoma drainage device (GDD), and minimally invasive glaucoma surgery (MIGS) as an initial surgery in patients with primary open angle glaucoma was 59{\%}±30{\%}, 23{\%}±23{\%}, and 14{\%}±20{\%}, respectively. Phacoemulsification cataract extraction alone was the preferred surgical approach in 44{\%}±32{\%} of patients with primary open angle glaucoma and visually significant cataract, and phacoemulsification cataract extraction was combined with trabeculectomy with MMC in 24{\%}±23{\%}, with MIGS in 22{\%}±27{\%}, and with GDD in 9{\%}±14{\%}. Although trabeculectomy was selected most frequently to surgically manage glaucoma in 8 of 8 clinical settings in 1996, GDD was preferred in 7 of 8 clinical settings in 2016. Conclusions: The use of GDD has increased and that of trabeculectomy has concurrently decreased over the past 2 decades. Trabeculectomy with MMC is the most popular primary incisional surgery when performed alone or in combination with phacoemulsification cataract extraction. Surgeons frequently manage coexistent cataract and glaucoma with cataract extraction alone, rather than as a combined cataract and glaucoma procedure.",
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