THE BELGIAN OPHTHALMIC ASSOCIATIONS
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This abstract is assigned to session BOG-SBO: Glaucoma / Glaucome
| Title | 5-Year retrospective experience with non-penetrating deep sclerectomy |
| Abstract Nr. | 168 |
| Purpose | To assess long-term safety and effectiveness of non-penetrating deep sclerectomy (NPDS). |
| Methods | Retrospective non randomized study including 234 eyes (179 patients) with medically uncontrolled glaucoma.42 eyes had previous filtering surgery,113 had severe glaucomatous damage.Procedures were performed according to Kozlov-Mermoud’s technique and associated with SKGEL® or TFLUX® implant in 65 eyes, antimetabolite augmentation (AMETAB) in 36 and combined implant-AMETAB in 124. |
| Results | Mean follow-up was 32.0+/-19 months. 1st month postoperative complications were observed in 144 eyes with hyperfiltration in 38, scarring of filtration bleb in 49, iris incarceration in 14. 5-fluorouracile injections were given in 76 eyes.Yag goniopuncture was done in 142 eyes, complicated by iris incarceration in 7. Late spontaneous iris incarceration occurred in 4 eyes. Mean visual acuity was 0.7 preoperatively and 0.6 at the last visit(p<0.05). Mean IOP was decreased from 28+/-9mmHg to 16+/-6mmHg (p<0.05)and stable throughout the follow-up.Mean number of medications was reduced from 2 to 1.2. Complete (target IOP reached without med) and qualified (target IOP reached with and without med) final success rates were 39% and 72%. 50% achieved a final IOP<15 mmHg.Complete and qualified success probability was 56% and 78% at 36 months and 24% and 50% at 60 months. Final IOP, success rates and probability was comparable with or without AMETAB.Success probability was higher in the subgroup without implant(p<0.05). |
| Conclusion | NPDS was a relatively safe and effective procedure.Yag goniopuncture and adjunctive medications were frequently needed.AMETAB and placement of implant did not seem to improve success rate.Iris incarceration must be monitored |
Author 1
| Last name | DETRY |
| Initials | MB |
| Department | UCL |
| City | Bruxelles |
Author 2
| Last name | DETRY |
| Initials | M |
| Department | UCL |
| City | Bruxelles |