The efficacy of modified non-penetrating deep sclerectomy in open-angle glaucoma treatment
Aim. To analyze the efficacy of modified non-penetrating deep sclerectomy. Materials and methods. POAG patients enrolled in the study were divided into 2 groups: study group included 29 patients who were referred for modified non-penetrating deep sclerectomy, control group included 33 patients who w...
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| Format: | Article |
| Language: | Russian |
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Ophthalmology Publishing Group
2015-03-01
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| Series: | Oftalʹmologiâ |
| Subjects: | |
| Online Access: | https://www.ophthalmojournal.com/opht/article/view/225 |
| _version_ | 1827063257963167744 |
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| author | E. A. Ivachev |
| author_facet | E. A. Ivachev |
| author_sort | E. A. Ivachev |
| collection | DOAJ |
| description | Aim. To analyze the efficacy of modified non-penetrating deep sclerectomy. Materials and methods. POAG patients enrolled in the study were divided into 2 groups: study group included 29 patients who were referred for modified non-penetrating deep sclerectomy, control group included 33 patients who were referred for standard non-penetrating deep sclerectomy. IOP level was 31.9±3.2 mm Hg in the study group and 31.5±3.3 mm Hg in the control group. Modification of non-penetrating deep sclerectomy consists in the separation of fornix-based Ushaped scleral flap, Schlemm’s canal opening, scleral tunnel creation and its dilation with polyamide 5/0 suture. Results. Three weeks after surgery, moderate hypotension was observed in both groups (15.7±1.56 mm Hg in the study group and 16.9±1.9 in the control group). Three months after surgery, IOP level was 17.47±1.24 mm Hg in the study group and 18.74±1.37 in the control group. Ten months after surgery, IOP level in the study group was significantly lower than in the control group (19.14±1.27 mm Hg and 21.31±1.42 mm Hg, respectively, р<0.05). Conclusions. The proposed surgical technique provides stable and long-term hypotensive effect and prevents excessive scarring in filtering area. Suture inserted into the scleral tunnel dilates it and provides continuous aqueous humor outflow. |
| first_indexed | 2024-04-10T01:48:39Z |
| format | Article |
| id | doaj.art-46562261021c4f399381552f12fd3d38 |
| institution | Directory Open Access Journal |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| last_indexed | 2025-02-18T20:10:42Z |
| publishDate | 2015-03-01 |
| publisher | Ophthalmology Publishing Group |
| record_format | Article |
| series | Oftalʹmologiâ |
| spelling | doaj.art-46562261021c4f399381552f12fd3d382024-10-17T16:11:55ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452015-03-01121576210.18008/1816-5095-2015-1-57-62220The efficacy of modified non-penetrating deep sclerectomy in open-angle glaucoma treatmentE. A. Ivachev0Penza Regional Ophthalmic Hospital, 32, Krasnaya Str. Penza, Russia, 440026Aim. To analyze the efficacy of modified non-penetrating deep sclerectomy. Materials and methods. POAG patients enrolled in the study were divided into 2 groups: study group included 29 patients who were referred for modified non-penetrating deep sclerectomy, control group included 33 patients who were referred for standard non-penetrating deep sclerectomy. IOP level was 31.9±3.2 mm Hg in the study group and 31.5±3.3 mm Hg in the control group. Modification of non-penetrating deep sclerectomy consists in the separation of fornix-based Ushaped scleral flap, Schlemm’s canal opening, scleral tunnel creation and its dilation with polyamide 5/0 suture. Results. Three weeks after surgery, moderate hypotension was observed in both groups (15.7±1.56 mm Hg in the study group and 16.9±1.9 in the control group). Three months after surgery, IOP level was 17.47±1.24 mm Hg in the study group and 18.74±1.37 in the control group. Ten months after surgery, IOP level in the study group was significantly lower than in the control group (19.14±1.27 mm Hg and 21.31±1.42 mm Hg, respectively, р<0.05). Conclusions. The proposed surgical technique provides stable and long-term hypotensive effect and prevents excessive scarring in filtering area. Suture inserted into the scleral tunnel dilates it and provides continuous aqueous humor outflow.https://www.ophthalmojournal.com/opht/article/view/225glaucomasurgerynon-penetrating deep sclerectomyintraocular pressure |
| spellingShingle | E. A. Ivachev The efficacy of modified non-penetrating deep sclerectomy in open-angle glaucoma treatment Oftalʹmologiâ glaucoma surgery non-penetrating deep sclerectomy intraocular pressure |
| title | The efficacy of modified non-penetrating deep sclerectomy in open-angle glaucoma treatment |
| title_full | The efficacy of modified non-penetrating deep sclerectomy in open-angle glaucoma treatment |
| title_fullStr | The efficacy of modified non-penetrating deep sclerectomy in open-angle glaucoma treatment |
| title_full_unstemmed | The efficacy of modified non-penetrating deep sclerectomy in open-angle glaucoma treatment |
| title_short | The efficacy of modified non-penetrating deep sclerectomy in open-angle glaucoma treatment |
| title_sort | efficacy of modified non penetrating deep sclerectomy in open angle glaucoma treatment |
| topic | glaucoma surgery non-penetrating deep sclerectomy intraocular pressure |
| url | https://www.ophthalmojournal.com/opht/article/view/225 |
| work_keys_str_mv | AT eaivachev theefficacyofmodifiednonpenetratingdeepsclerectomyinopenangleglaucomatreatment AT eaivachev efficacyofmodifiednonpenetratingdeepsclerectomyinopenangleglaucomatreatment |