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Long-term evaluation of efficacy and safety of deep sclerectomy in uveitic glaucoma.
- Source :
-
Ocular immunology and inflammation [Ocul Immunol Inflamm] 2015 Feb; Vol. 23 (1), pp. 82-9. Date of Electronic Publication: 2014 Jan 10. - Publication Year :
- 2015
-
Abstract
- Purpose: To assess long-term efficacy and safety of deep sclerectomy (DS) in uveitic glaucoma.<br />Patients and Methods: Thirty-three consecutive eyes (21 patients) with uveitic glaucoma underwent DS with mitomycin C and implant. Goniopuncture (GP) was done for uncontrolled postoperative intraocular pressure (IOP).<br />Results: Mean (± SD) follow-up was 33.2 (± 19.8) months. IOP was reduced from a mean preoperative value of 37.2 to postoperative value of 14.7 mmHg (p < 0.0001). Complete success was achieved in 24/33 eyes (72.7%); qualified success was obtained in 7/33 eyes (21.2%). Neodymium:YAG GP was performed in 12 eyes. Postoperative complications included cataract progression in 9 eyes, transient hypotony in 6 eyes, shallow choroidal effusions in 4 eyes, hypotony with persistent maculopathy in 1 eye, hyphema in 1 eye, and decompression retinopathy in 1 eye.<br />Conclusion: DS is safe and effective in patients with uveitic open-angle glaucoma. However, laser goniopuncture is frequently needed to improve the outcome.
- Subjects :
- Adolescent
Adult
Aged
Child
Female
Follow-Up Studies
Glaucoma, Open-Angle etiology
Glaucoma, Open-Angle physiopathology
Humans
Male
Middle Aged
Prospective Studies
Time Factors
Tonometry, Ocular
Treatment Outcome
Visual Acuity
Young Adult
Glaucoma Drainage Implants
Glaucoma, Open-Angle surgery
Intraocular Pressure
Sclera surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1744-5078
- Volume :
- 23
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Ocular immunology and inflammation
- Publication Type :
- Academic Journal
- Accession number :
- 24410348
- Full Text :
- https://doi.org/10.3109/09273948.2013.870213