Long-term surgical outcomes of Aurolab aqueous drainage implant in pediatric eyes with primary congenital glaucoma versus aphakic glaucoma.

PURPOSE: To compare the outcomes of the Aurolab aqueous drainage implant (AADI) placed in eyes with refractory primary congenital glaucoma (PCG) versus aphakic glaucoma (APG). DESIGN: Retrospective comparative interventional case series. METHODS: Case files of consecutive eyes with PCG or APG that underwent AADI surgery between January 2013 and December 2016 and had a minimum 4 years follow-up were extracted from a computerised database. Failure was defined as intraocular pressure (IOP)>21 mm Hg or reduced<20% below baseline on two consecutive follow-up visits after 3 months, IOP≤5 mm Hg on two consecutive follow-up visits after 3 months, reoperation for glaucoma or a complication, or loss of light perception. RESULTS: Eighty-nine eyes underwent AADI placement, including 42 eyes (47%) with PCG and 47 eyes (53%) with APG. Both groups were comparable at baseline. At 1 year, the APG group had lower mean IOP (13.6±8.1 mm Hg vs 17.6±7.5 mm Hg, p=0.02) with use of fewer IOP-lowering medications (0.8±1.0 vs 1.5±1.0, p=0.01) than the PCG group. The cumulative failure rate at 4 years was 57% (95% CI 43% to 72%) in PCG versus 40% (95% CI 28% to 56%) in the APG eyes (p=0.11). Eyes with PCG had greater tube-related complications (48% vs 38%, p=0.07) and number of reoperations (40% vs 32%, p=0.02) compared with eyes with APG. CONCLUSIONS: Eyes with APG had relatively better outcomes after AADI placement compared with PCG during 4 years of follow-up. Reoperations accounted for more than 70% of the failures.

Colour stability of heat and cold cure acrylic resins.

INTRODUCTION: To evaluate the colour stability of heat and cold cure acrylic resins under simulated oral conditions with different colorants. MATERIALS AND METHODS: Three different brands of heat cure acrylic resin and two rapid cure auto polymerizing acrylic resin of commercial products such as Trevelon Heat Cure (THC), DPI Heat cure (DHC), Pyrax Heat Cure (PHC), DPI Cold cure (DCC) and Acralyn-R-Cold cure (ACC) have been evaluated for discoloration and colour variation on subjecting it to three different, commonly employed food colorants such as Erythrosine, Tartarizine and Sunset yellow. In order to simulate the oral condition the food colorants were diluted with artificial saliva to the samples taken up for the study. These were further kept in an incubator at 37°C ± 1°C. The UV-visible spectrophotometer has been utilized to evaluate the study on the basis of CIE L* a* b* system. The prepared samples for standard evaluation have been grouped as control group, which has been tested with a white as standard, which is applicable for testing the colour variants. RESULTS: The least colour changes was found to be with Sunset Yellow showing AE* value of 3.55 with heat cure acrylic resin branded as PHC material and the highest colour absorption with Tartarizine showing AE* value of 12.43 in rapid cure autopolymerzing acrylic resin material branded as ACC material. CONCLUSION: ACC which is a self cure acrylic resin shows a higher colour variation to the tartarizine food coloration. There were not much of discoloration values shown on the denture base resins as the food colorants are of organic azodyes.