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- BUT caution in interpretation:
- Non-virgin eyes, with all eyes having an intervention prior to randomization
- MMC was administered for 4 minutes, which is not done in clinical practice
- Only Baerveldt 350 tubes were used: whilst I use this in Oxford, surgeons throughout the world use different shunt devices
- Clinically, hypotonous eyes with good vision are not considered a failure: converse to the study design
- My interpretation of this paper:
- Patients with failed trabeculectomy should undergo tube surgery
- Can give patients general figures of per annum 10% failure risk of trabs compared to 5% in the tube group
- Kaplan Meier survival analysis revealed the cumulative probability of failure at five-years:
- Tube = 29.8%
- Trab = 46.9%
- Failure rates, significantly higher in the trab group:
- 33% in the tube group
- 50% in the trab group
Mr Jutley has been an excellent mentor and consultant. He has the patients best interest at the heart of his consultations and decision making. His weekly teaching sessions offer a comprehensive insight into a variety of management and surgical techniques.
AG Optometrist
AG Optometrist
DJ ST3
ZS ST6