Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Pahljina, C.
Survey of the quality of life after glaucoma surgery
Humanmedizin; [ Diplomarbeit ] Medizinische Universität Graz; 2021. pp. 71
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- Autor*innen der Med Uni Graz:
- Betreuer*innen:
- Lindner Ewald
- Sarny Stephanie
- Altmetrics:
- Abstract:
- Background/Aims: To evaluate quality of life after minimal invasive glaucoma surgery (XEN® Gel stent) in comparison with trabeculectomy. Methods: A cross-sectional survey of patients diagnosed with glaucoma, who either underwent implantation of XEN® Gel Stent or trabeculectomy from 2014 to 2018 at the University Hospital of Graz. The quality of life was assessed by using the GSS (Glaucoma Symptoms Scale) – Questionnaire. Results: 157 patients were included. 80 patients underwent minimal invasive glaucoma surgery (XEN®) and 77 trabeculectomy. When stratified for postopera-tive years the trabeculectomy group had significantly more symptoms in the first postoperative year (85.6 vs. 70.4; p=0.03), but this difference disappeared in the following years. The overall satisfaction with the surgery was significantly higher in patients who did not further need IOP lowering medication regardless of the type of procedure (p=0.001). Out of 10 items of the questionnaire only one was significantly worse in the trabeculectomy group (blurry/dim vision; 75.5 vs. 60.8; p=0.01), but this was due to the fact that 92.5% of minimal invasive glaucoma surgeries were combined with phacoemulsification. Conclusion: Quality of life measured by Glaucoma Symptom Scale – Question-naire was very comparable between minimal invasive glaucoma surgery and trabeculectomy except for the first postoperative year, when non-visual symptoms were worse in the trabeculectomy group.