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Abstract #21912 Published in IGR 10-4
The effectiveness of phacodeepsclerectomy performed with implantation sk-gel and T-flux: 12 months observations
Rekas M; Wierzbowska J; Lewczuk K; Siemiatkowska A; Stankiewicz AKlinika Oczna 2008; 110: 145-150
PURPOSE: The purpose of this work was to present effectiveness and safety of phacodeepsclerectomy with SK-gel and T-flux implant in 12 months observation. MATERIALS AND METHODS: Retrospective analysis included group I (SK-gel), 40 eyes and group II (T-flux), 23 eyes. At the control studies best corrected visual acuity (BCVA), intraocular pressure (IOP), anterior and posterior segment of the eye were examined. Control testing was done on day 1 and day 7, and 1, 3, 6, 12 months after surgery. In the case of elevated IOP (> 15 mmHg) goniopuncture was performed. IOP (> 15 mmHg) with fibrosis signs of the filtration bleb was an indication to use antimetabolites. Complete and qualified success rate was defined as IOP ≤ 18 mmHg. In statistical analysis one-way ANOVA and Kaplan-Meier survival analysis, were used. RESULTS: After 12 months mean IOP in the SK-gel group was 12.7 ± 0.6 mmHg and in T-flux group 14.6 ± 0.7 mmHg. It was a decrease in the mean IOP by 39.1% (p < .001) and 35.7% (p < .001). In both groups fewer medications were used than before surgery. Complete surgical and qualified success rate was reached in group I (81.7% and 91.9%) and in group II (72.7% and 83.8%). Nd:YAG goniopuncture performed in 10 eyes with implant SK-gel (25.0%) and 6 eyes with implant T-flux (26.1%) (p > .05). Subconjunctival injections with 5-FU were done in 5 eyes in the SK-gel group (12.5%) and in 3 eyes in the T-flux group (13.0%) (p > .05). CONCLUSIONS: Phacodeepsclerectomy (PDS) with SK-gel and T-flux implant are both effective and safe surgical methods in the treatment of POAG in 12-months observation.
Dr. M. Rekas, Departament of Ophthalmology, Military Health Service Institute, Warsaw, Poland. rekaspl@gmail.com