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Abstract #20441 Published in IGR 10-1
Deep Sclerectomy With SkGel Implant: 5-year Results
Galassi F; Giambene BJournal of Glaucoma 2008; 17: 52-56
PURPOSE: To evaluate the results of deep sclerectomy with SkGel at 3 and 5 years. MATERIALS AND METHODS: This retrospective trial comprised 200 eyes with open angle glaucoma having a 3-year follow-up, 97 having a 5-year follow-up. Visual acuity, intraocular pressure (IOP), and slit-lamp examination were recorded at baseline and at follow-up visits. Visual field (VF) testing was repeated every 6 months. RESULTS: Mean IOP decreased from 21.01±5.56 mmHg before surgery to 13.13±2.24 mmHg at 36 months and from 20.61±5.50 to 12.85±1.84 mmHg at 60 months (P<0.0005). At 3 and 5 years, complete success rates (IOP ≤16 mmHg without medications) were 67.50% and 64.95%, partial success rates were (IOP ≤16 mmHg with medications) 21.50% and 24.74%, and failure rates were (IOP >16 mmHg) 11% and 10.31%, respectively. VF testing revealed stable mean deviation and corrected pattern standard deviation values at 3 and 5 years (P>0.05). At 3 years, success rate was greater if goniopuncture was performed within 3 months after surgery (P=0.022). Complications of the surgery were not observed after goniopunctures. CONCLUSIONS: Deep sclerectomy with SkGel provides stable control of IOP and VF.
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
