RESUMO
PURPOSE: To investigate long-term astigmatism after combined nonpenetrating glaucoma surgery (NPGS) and implantation of the first miniaturized suprachoroidal intraocular pressure (IOP) sensor EYEMATE-SC. SETTING: The study was conducted in 5 medical centers in 2 different countries. DESIGN: Retrospective multicenter clinical study. METHODS: Astigmatism of patients instrumented with the EYEMATE-SC IOP sensor was assessed over a follow-up period of 3 years. Refraction and corrected distance visual acuity (CDVA) were obtained preoperatively, after 6 months, 1, 2, and 3 years. A canaloplasty-operated patient cohort served as control. Astigmatism was evaluated using 3-dimensional power vector analysis involving the spherical equivalent M, and the Jackson crossed cylinder projections J 0 and J 45 . Exclusion criteria included neovascular and angle-closure glaucoma, myopia, axial length outside 22 to 26 mm, other ocular diseases, prior glaucoma surgery, other ocular surgery within 6 months (cataract surgery within 3 months) before NPGS, serious generalized conditions, and other active medical head/neck implants. RESULTS: Multivariate analysis indicated no changes in astigmatism along the observation period in both the EYEMATE-SC (n = 24) and the canaloplasty (n = 24) group ( P > .05 or nonsignificant after Bonferroni correction). Astigmatism was unchanged between the EYEMATE-SC and the canaloplasty group at all timepoints ( P > .05). CDVA did not change along the observation period of 3 years in each of both groups ( P > .05). CONCLUSIONS: Despite its suprachoroidal localization, this study indicated that the miniaturized EYEMATE-SC IOP sensor did not negatively affect long-term astigmatism after combined implantation with NPGS.
Assuntos
Astigmatismo , Pressão Intraocular , Tonometria Ocular , Acuidade Visual , Humanos , Pressão Intraocular/fisiologia , Astigmatismo/fisiopatologia , Astigmatismo/cirurgia , Estudos Retrospectivos , Acuidade Visual/fisiologia , Masculino , Feminino , Idoso , Pessoa de Meia-Idade , Seguimentos , Glaucoma/cirurgia , Glaucoma/fisiopatologia , Refração Ocular/fisiologia , Complicações Pós-Operatórias , Implantes para Drenagem de Glaucoma , Idoso de 80 Anos ou mais , Transdutores de Pressão , Implantação de Prótese , Cirurgia Filtrante/métodosRESUMO
Electronic medical records (EMRs) are being successfully implemented on a regular basis. They provide real benefits. This article presents a detailed explanation of how this medical group implemented and created a paperless medical practice environment and an electronic medical record. This includes an explanation of hardware and software components, the method of creating the EMR, benefits, pitfalls, and effect on the practices.
Assuntos
Medicina de Família e Comunidade , Sistemas Computadorizados de Registros Médicos , Administração da Prática Médica , Humanos , Estudos de Casos Organizacionais , Objetivos Organizacionais , Técnicas de PlanejamentoRESUMO
Electronic medical records are being successfully implemented on a regular basis. They provide real benefits. This is a detailed explanation of how this medical group implemented and created a paperless medical practice environment and an electronic medical record (EMR). This includes an explanation of hardware and software components, the method of creating the EMR, the benefits, pitfalls, and the impact on the practices.