Abstract
Purpose :
To evaluate US glaucoma fellow surgical experience with traditional filtering and microinvasive glaucoma surgeries (MIGS).
Methods :
Association of University Professors of Ophthalmology (AUPO) case log data from 2008-2019 was reviewed and analyzed for year-to-year trends.
Results :
From 2008 to 2019, mean primary trabeculectomy surgeries among glaucoma fellows decreased 17.6% from 30.1 to 24.8, which represented a 0.8% decrease per year (P=0.67). During the same time period, mean primary glaucoma drainage implant (GDI) surgeries increased 56.3% from 30.2 to 47.2, which represented a 4.3% increase per year (P<0.01). From 2014 to 2019, mean iStent cases increased from 3.7 to 11.7, which represented a 24.1% increase per year (P=0.03). Mean goniotomy cases from 2014-2019 increased from 0.2 to 8.6, which represented a 55.5% increase per year (P<0.01). From 2016 to 2019, mean Trabectome cases increased from 2.7 to 3.7, which represented a 16.3% increase per year (P=0.69), and mean gonioscopy-assisted transluminal trabeculotomy (GATT) cases increased from 1.7 to 4.7, which represented a 49.8% increase per year (P=0.24).
Conclusions :
There are steadily increased cases of GDI, iStent, and goniotomy surgeries among US glaucoma fellows. The cases of primary trabeculectomy surgeries have been fluctuating with a possible downtrend.
This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.