title: Practice preferences for glaucoma surgery: a survey of the American Glaucoma Society in 2008.
abstract: OBJECTIVE
  To evaluate glaucoma surgical practice patterns among members of the American Glaucoma Society (AGS).
  
  
  METHODS
  An anonymous web-based survey was sent to AGS members to determine their preferred surgical approach in ten clinical settings. Survey results were compared with those from 1996 and 2002.
  
  
  RESULTS
  A total of 125 (22%) AGS members responded to the survey. Mean glaucoma drainage device (GDD) usage increased from 17.5% (range: 5% to 37%; standard deviation [SD]: 10.9%) in 1996 to 50.8% (range: 15% to 76%; SD: 17.3%) in 2008, and mean trabeculectomy usage decreased from 80.8% (range: 62% to 93%; SD: 11.3%) in 1996 to 45.5% (range: 16% to 80%; SD: 17.9) in 2008. GDD was most popular in none of 8 clinical settings in 1996, and 5 of 8 clinical settings in 2008. Mitomycin C was selected as an adjunctive antifibrotic agent to trabeculectomy in 85% to 99% of cases.
  
  
  CONCLUSIONS
  Glaucoma surgical practice patterns have changed since 1996. The use of a GDD has progressively increased, and the popularity of trabeculectomy decreased between 1996 and 2008. Mitomycin C remains the most frequently selected antifibrotic agent used as an adjunct to trabeculectomy.
authors.affiliation: Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA.
authors.forename: Manishi A
authors.initials: MA
authors.lastname: Desai
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Gedde
authors.forename: William J
authors.initials: WJ
authors.lastname: Feuer
authors.forename: Wei
authors.initials: W
authors.lastname: Shi
authors.forename: Philip P
authors.initials: PP
authors.lastname: Chen
authors.forename: Richard K
authors.initials: RK
authors.lastname: Parrish
mesh_terms: D000477:Alkylating Agents / Q000008:administration & dosage; D004363:Drug Utilization / Q000706:statistics & numerical data; D005901:Glaucoma / Q000601:surgery*; D020327:Glaucoma Drainage Implants / Q000706:statistics & numerical data*; D006302:Health Services Research; D006306:Health Surveys; D006801:Humans; D009885:Ophthalmology / Q000706:statistics & numerical data; D018918:Phacoemulsification / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012955:Societies, Medical / Q000706:statistics & numerical data; D014130:Trabeculectomy / Q000706:statistics & numerical data*
chemical_list: D000477:Alkylating Agents