{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:36:55Z","timestamp":1791895015681,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,7,10]],"date-time":"2018-07-10T00:00:00Z","timestamp":1531180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare the use of human donor sclera with bovine pericardium as patch graft material for a glaucoma drainage device (<jats:styled-content style=\"fixed-case\">GDD<\/jats:styled-content>), with respect to the incidence of tube exposure, and to study the role of a drainage suture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All <jats:styled-content style=\"fixed-case\">GDD<\/jats:styled-content> surgeries between 2010 and 2014 performed at the <jats:styled-content style=\"fixed-case\">VU<\/jats:styled-content> Medical Center were examined in this comparative, retrospective cohort study. A total of 244 cases were included; 163 in the human donor sclera cohort and 81 in the bovine pericardium cohort with a median follow\u2010up of 31 and 36\u00a0months, respectively. The primary outcome measure was occurrence of tube exposure. Survival analysis for tube exposure was carried out and Kaplan\u2013Meier curves compared. Secondary outcomes were postoperative intraocular pressure (<jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content>), number of glaucoma medications and the effect of a drainage suture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the bovine pericardium cohort, eleven (13.6%) eyes developed tube exposure compared to none in the human donor sclera cohort. Their Kaplan\u2013Meier survival curves differed significantly from each other (<jats:italic>\u03c7<\/jats:italic>\u00b2\u00a0=\u00a021.1, p\u00a0&lt;\u00a00.001, log\u2010rank test). Mean <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> and number of glaucoma medications did not differ significantly between patch graft materials at three months of follow\u2010up. The use of a drainage suture directly lowered <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> after surgery in both cohorts. Within the bovine pericardium cohort, eyes with a drainage suture experienced more tube exposure, although this difference was not statistically significant (p\u00a0=\u00a00.09).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Human donor sclera leads to less tube exposure than bovine pericardium. A drainage suture directly lowers <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> after surgery. With bovine pericardium, but not with donor sclera, exposure tends to be enhanced by a drainage suture.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13721","type":"journal-article","created":{"date-parts":[[2018,7,11]],"date-time":"2018-07-11T06:08:23Z","timestamp":1531289303000},"page":"692-698","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Donor sclera versus bovine pericardium as patch graft material in glaucoma implant surgery and the impact of a drainage suture"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2227-223X","authenticated-orcid":false,"given":"Milo","family":"van Hoefen Wijsard","sequence":"first","affiliation":[{"name":"Department of Ophthalmology VU University Medical Center Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michiel","family":"Haan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology VU University Medical Center Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eelco","family":"Rietveld","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology VU University Medical Center Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurentius J.","family":"van Rijn","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology VU University Medical Center Amsterdam the 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