{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T10:27:04Z","timestamp":1787308024473,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the outcomes of intraluminal stent removal from the Paul glaucoma implant (PGI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective observational study of all cases undergoing PGI stent removal from August 2022 to August 2025 at a single Danish tertiary centre. Primary endpoints were intraocular pressure (IOP) and IOP\u2010lowering medications. Secondary endpoints were success rates and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 114 consecutive PGI implantations with an intraluminal polypropylene 6\u20130 stent were performed from March 2022 to December 2024. A total of 88 eyes (77%) underwent stent removal at a mean of 113.5\u2009\u00b1\u200964.3\u2009days after PGI implantation. Success at 6\u2009months after stent removal, defined as 1) \u226520% IOP reduction with no increase in medications or 2) reduction of \u22651 number of IOP\u2010lowering medications, was met in 77% (68 eyes) of the eyes. Washout of IOP\u2010lowering medications prior to stent removal was performed in 68 eyes with an average IOP before and 1\u2009week after stent removal of 24.5\u2009\u00b1\u20095.9\u2009mmHg and 14.0\u2009\u00b1\u20097.4\u2009mmHg, respectively. Clinically hypotony occurred in nine eyes after stent removal; three needed re\u2010stenting. No other complications related to stent removal occurred. Stent removal &lt;2\u2009months after surgery was associated with a sixfold higher risk of clinical hypotony (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates that stent removal is an effective way to further reduce the IOP in the majority of patients after PGI surgery and that the risk of hypotony is low when removal is avoided in the early postoperative period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aos.70228","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T09:59:56Z","timestamp":1787306396000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraluminal stent removal after Paul glaucoma implant surgery: Intraocular pressure reduction and safety outcomes"],"prefix":"10.1111","author":[{"given":"Anne","family":"Studsgaard","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iben Bach","family":"Damgaard","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8327-6461","authenticated-orcid":false,"given":"Niklas","family":"Telinius","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bjophthalmol-2023-egsguidelines","article-title":"European glaucoma society \u2010 a guide on surgical innovation for glaucoma","volume":"107","author":"Abegao Pinto L.","year":"2023","journal-title":"British Journal of Ophthalmology"},{"key":"e_1_2_5_3_1","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1097\/IJG.0000000000002366","article-title":"Treatment outcomes comparing the Paul and Baerveldt glaucoma implants after one year of follow\u2010up","volume":"33","author":"Berteloot S.","year":"2024","journal-title":"Journal of Glaucoma"},{"issue":"2","key":"e_1_2_5_4_1","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1111\/ceo.70019","article-title":"Clinical efficacy and safety of the PAUL glaucoma implant: a systematic review and meta\u2010analysis","volume":"54","author":"Chan K.E.","year":"2026","journal-title":"Clinical & Experimental Ophthalmology"},{"key":"e_1_2_5_5_1","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1111\/ceo.14549","article-title":"Outcomes of stent removal in eyes with the Paul glaucoma implant with intraluminal 6\u20130 polypropylene","volume":"53","author":"Chan N.S.W.","year":"2025","journal-title":"Clinical & Experimental Ophthalmology"},{"key":"e_1_2_5_6_1","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1097\/IJG.0000000000001969","article-title":"One\u2010year efficacy and safety of the PAUL glaucoma implant using a standardized surgical protocol","volume":"31","author":"Jos\u00e9 P.","year":"2022","journal-title":"Journal of Glaucoma"},{"key":"e_1_2_5_7_1","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.ogla.2020.05.001","article-title":"Treatment outcomes using the PAUL glaucoma implant to control intraocular pressure in eyes with refractory glaucoma","volume":"3","author":"Koh V.","year":"2020","journal-title":"Ophthalmol Glaucoma"},{"key":"e_1_2_5_8_1","doi-asserted-by":"crossref","DOI":"10.1111\/aos.70206","article-title":"Two\u2010year outcomes of primary PAUL glaucoma implant using tube ligature technique without intraluminal stent","author":"Koskinen J.P.","year":"2026","journal-title":"Acta Ophthalmologica"},{"key":"e_1_2_5_9_1","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1136\/bjo-2024-326947","article-title":"Outcomes of intraluminal ripcord removal from Paul glaucoma implants","volume":"109","author":"Mendel L.","year":"2025","journal-title":"British Journal of Ophthalmology"},{"key":"e_1_2_5_10_1","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1111\/aos.17443","article-title":"One tube for all: 1\u2010year outcomes after transition to Paul glaucoma implant at a tertiary centre","volume":"103","author":"Studsgaard A.","year":"2025","journal-title":"Acta Ophthalmologica"},{"key":"e_1_2_5_11_1","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1097\/IJG.0000000000002369","article-title":"Three\u2010year outcomes of the Paul glaucoma implant for treatment of glaucoma","volume":"33","author":"Tan M.C.J.","year":"2024","journal-title":"Journal of Glaucoma"},{"key":"e_1_2_5_12_1","doi-asserted-by":"crossref","first-page":"3255","DOI":"10.2147\/OPTH.S544440","article-title":"A systematic review of the PAUL glaucoma implant","volume":"19","author":"Tan N.","year":"2025","journal-title":"Clinical Ophthalmology"},{"key":"e_1_2_5_13_1","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1038\/s41433-021-01737-1","article-title":"Surgical technique, perioperative management and early outcome data of the PAUL\u00ae glaucoma drainage device","volume":"36","author":"Vallabh N.A.","year":"2021","journal-title":"Eye"},{"key":"e_1_2_5_14_1","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1097\/IJG.0000000000002457","article-title":"Two\u2010year clinical outcomes of the PAUL glaucoma implant in white patients with refractory glaucoma","volume":"33","author":"Weber C.","year":"2024","journal-title":"Journal of Glaucoma"},{"key":"e_1_2_5_15_1","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1097\/IJG.0000000000002594","article-title":"Clinical outcomes of intraluminal stent removal after PAUL\u00ae glaucoma implant surgery","volume":"34","author":"Weber C.","year":"2025","journal-title":"Journal of Glaucoma"}],"container-title":["Acta 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