NON PENETRATING DEEP SCLERECTOMY AND TRABECULOTOMY FOR GLAUCOMA
ABSTRACT Purpose: The purpose of this paper is to show the efficacy and safety of controlling intraocular pressure by combining a non-penetrating deep sclerectomy procedure with trabeculotomy, and analyze its results and complications. Design: Surgical cases. Material and Methods: Intraocular...
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| Format: | Article |
| Language: | English |
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Pan-American Association of Ophthalmology
2012-11-01
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| Series: | Vision Pan-America |
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| Online Access: | http://journals.sfu.ca/paao/index.php/journal/article/view/55 |
| Summary: | ABSTRACT
Purpose: The purpose of this paper is to show the efficacy and safety of controlling intraocular pressure by combining a non-penetrating deep sclerectomy procedure with trabeculotomy, and analyze its results and complications.
Design: Surgical cases.
Material and Methods: Intraocular pressure equal to or less than 16 mmHg with or without medication was considered a success. Between August 2005 and October 2008, 61 eyes were operated, presenting open-angle glaucoma without intraocular pressure control with maximum medication. 28 patients underwent non-penetrating deep sclerectomy with trabeculotomy and the others received combined phacoemulsification and intraocular lens implant. Average age was 68 years, with a range between 48 and 86. Sex distribution was 22 men and 39 women. Average pre-surgical intraocular pressure was 21.75 mmHg, with standard deviation +- 5.45 and a range between 14 and 45 mmHg. Average follow-up was 22.55 months with a range between 1 and 40 months. No antimetabolites, viscoelastics or devices were employed to improve the results.
Results: Average latest post-surgical intraocular pressure was 12.79 mmHg, standard deviation +-4.31 with a range between 9 and 40 mmHg. The difference between pre- and post-surgical measures was 8.96 mmHg. Average success was 88.52% (54 eyes). The failure rate was 11.47% (7 eyes). Intraocular pressure was controlled in 51 eyes (83.60%) without medication and in 10 eyes (16.39%) with medication. 35 cases had hyphema between 1 to 12 days post-surgery, resolved without consequences.
Conclusions: Combining non-penetrating deep sclerectomy with trabeculotomy showed better results than each one separately, resulting in an alternative procedure for surgical treatment of open-angle glaucoma. |
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| ISSN: | 2219-4665 2219-4673 |