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Ab interno trabecular bypass surgery with Trabectome for open angle glaucoma

Hu, K; Gazzard, G; Bunce, C; Wormald, R; (2016) Ab interno trabecular bypass surgery with Trabectome for open angle glaucoma. Cochrane Database of Systematic Reviews , 2016 (8) , Article CD011693. 10.1002/14651858.CD011693.pub2. Green open access

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Abstract

BACKGROUND: Glaucoma is the leading cause of irreversible blindness. Minimally invasive surgical techniques, such as ab interno trabecular bypass surgery, have been introduced to prevent glaucoma progressing. OBJECTIVES: The main objective was to assess the results at two years of ab interno trabecular bypass surgery with Trabectome for open angle glaucoma in comparison to conventional medical, laser, or surgical treatment in terms of efficacy and safety. A secondary objective was to examine the effects of Trabectome surgery in people who have concomitant phacoemulsification in comparison to those who do not have concomitant phacoemulsification. SEARCH METHODS: We searched CENTRAL (which contains the Cochrane Eyes and Vision Trials Register) (2016, Issue 4), Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE (January 1946 to May 2016), EMBASE (January 1980 to May 2016), the ISRCTN registry (www.isrctn.com/editAdvancedSearch), ClinicalTrials.gov (www.clinicaltrials.gov), and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) (www.who.int/ictrp/search/en). We did not use any date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 12 May 2016. SELECTION CRITERIA: We included only randomised controlled trials (RCTs) of ab interno trabecular bypass surgery with Trabectome. DATA COLLECTION AND ANALYSIS: We planned to have two review authors independently extract data from reports of included studies using a data collection form. MAIN RESULTS: One randomised controlled trial identified from ClinicalTrials.gov, NCT00901108, met the criteria for inclusion. This study has subsequently been terminated. The ClinicalTrials.gov record indicates that the investigators plan to complete 12 months of follow-up and analysis on 19 participants already recruited into the trial. AUTHORS' CONCLUSIONS: There is currently no high-quality evidence for the outcomes of ab interno trabecular bypass surgery with Trabectome for open angle glaucoma. Properly designed RCTs are needed to assess the long-term efficacy and safety of this technique.

Type: Article
Title: Ab interno trabecular bypass surgery with Trabectome for open angle glaucoma
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/14651858.CD011693.pub2
Publisher version: http://doi.org/10.1002/14651858.CD011693.pub2
Language: English
Additional information: Copyright © 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: Hu, K; Gazzard, G; Bunce, C; Wormald, R; (2016) Ab interno trabecular bypass surgery with Trabectome for open angle glaucoma. Cochrane Database of Systematic Reviews , 2016 (8) , Article CD011693. 10.1002/14651858.CD011693.pub2, which has been published in final form at http://doi.org/10.1002/14651858.CD011693.pub2. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/1508681
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