Optic neuropathies that mimic glaucoma.

It can be difficult to tell the difference between a glaucomatous optic nerve and a glaucoma mimic. Here are some tips that well help you to avoid diagnosing glaucoma when there is something else going on

Surgical technique, perioperative management and early outcome data of the PAUL (R) glaucoma drainage device

ObjectivesTo describe a surgical technique and early post-operative outcomes for a novel glaucoma drainage device-the PAUL® glaucoma implant (PGI).MethodsA consecutive cohort study of subjects who had PGI surgery between February 2019 and May 2020 with a minimum of 6-month follow-up. Primary outcome measures included failure (intraocular pressure (IOP) > 21 mmHg or a ResultsNinety-nine eyes of 97 patients had a preoperative IOP (mean ± standard deviation) of 28.1 ± 9.0 mmHg, falling to 18.2 ± 6.8 mmHg at 1 month, 17.9 ± 6.7 mmHg at 3 months and 13.6 ± 4.7 mmHg at 6 months. 52 patients had a 12-month mean IOP of 13.3 ± 4.4 mmHg. The mean change in number of medications was a reduction of 2.38 ± 1.48. A significant reduction in the number of medications and intraocular pressure was demonstrated after PGI (p 21 mmHg). Thirty-eight (38.4%) of eyes had complete success and achieved an unmedicated IOP ConclusionThis study presents a safe surgical technique, which significantly reduces IOP and number of medications with minimal complications

Surgical technique, perioperative management and early outcome data of the PAUL (R) glaucoma drainage device

ObjectivesTo describe a surgical technique and early post-operative outcomes for a novel glaucoma drainage device-the PAUL® glaucoma implant (PGI).MethodsA consecutive cohort study of subjects who had PGI surgery between February 2019 and May 2020 with a minimum of 6-month follow-up. Primary outcome measures included failure (intraocular pressure (IOP) > 21 mmHg or a ResultsNinety-nine eyes of 97 patients had a preoperative IOP (mean ± standard deviation) of 28.1 ± 9.0 mmHg, falling to 18.2 ± 6.8 mmHg at 1 month, 17.9 ± 6.7 mmHg at 3 months and 13.6 ± 4.7 mmHg at 6 months. 52 patients had a 12-month mean IOP of 13.3 ± 4.4 mmHg. The mean change in number of medications was a reduction of 2.38 ± 1.48. A significant reduction in the number of medications and intraocular pressure was demonstrated after PGI (p 21 mmHg). Thirty-eight (38.4%) of eyes had complete success and achieved an unmedicated IOP ConclusionThis study presents a safe surgical technique, which significantly reduces IOP and number of medications with minimal complications