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• W4384461293 abstract "To assess practice patterns and opinions of glaucoma specialists regarding indications, surgical technique, and post-operative management for non-valved aqueous shunts. Anonymous online survey study American Glaucoma Society (AGS) members An anonymous online survey was distributed to glaucoma specialists via the AGS forum from June to August 2022. Survey questions and responses were assessed in four sections: (1) general demographics and practice patterns, (2) non-valved tubes vs. trabeculectomy, (3) non-valved tubes vs. valved tubes, and (4) non-valved tube techniques. There were 132 respondents; non-valved tubes were reported to be performed more often than trabeculectomy by 61% of respondents within 5 years of completing training and 23% of respondents with more than 15 years since completing training. The most frequently preferred types of non-valved tubes were Baerveldt-350 (41%), Baerveldt-250 (27%), and ClearPath-250 (18%). In patients with lower target IOP, 92% of respondents preferred trabeculectomy over non-valved tube; 33% cited a cutoff of <12 mmHg, and 31% cited a cutoff of <15 mmHg. In patients with higher preoperative IOP, 50% of respondents preferred valved over non-valved tubes; 29% cited a cutoff of >40 mmHg, and 38% cited a cutoff of >30 mmHg. The most frequently used ligature was 7-0 Vicryl (69%). The most frequently used strategies for early IOP lowering were fenestrations without wicks (70%) and with wicks (22%), with one 10-0 Nylon being the most used wick technique (22%). Overall, 37% of respondents use a ripcord; among ripcord users, 55% use it for hypotony prevention (3-0 Prolene most common for this purpose at 35%), and 40% use it for optional early IOP lowering (4-0 Nylon most common for this purpose at 21%). If IOP is too high at postoperative week 4, 38% of respondents do not open the tube early. We demonstrate significant heterogeneity regarding specific indications, surgical technique, and postoperative management for non-valved tubes. Future work is needed to identify and develop standardized guidelines alongside best practices." @default.
• W4384461293 created "2023-07-16" @default.
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• W4384461293 date "2023-07-01" @default.
• W4384461293 modified "2023-09-27" @default.
• W4384461293 title "Techniques and Preferences for Nonvalved Aqueous Shunts" @default.
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• W4384461293 doi "https://doi.org/10.1016/j.ogla.2023.07.006" @default.
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