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Abstract #45648 Published in IGR 13-2
Suprachoroidal implant surgery in intractable glaucoma
Palamar M; Ates H; Oztas Z; Yusifov EJapanese Journal of Ophthalmology 2011; 55: 351-355
Purpose: To report the early results of suprachoroidal silicone implant surgery in intractable glaucoma. Materials and methods: A modified silicone implant with no valve was implanted into the suprachoroidal space of 15 eyes with intractable glaucoma. Results: The mean age of the patients was 53.0 (plus or minus) 24.5 (range 7-85) years, the mean follow-up time was 17.1 (plus or minus) 4.8 (range 10-28) months, and the mean preoperative intraocular pressure (IOP) of patients receiving two or more medications was 33.1 (plus or minus) 9.8 mmHg. At the last follow-up visit, mean IOP was 16.5 (plus or minus) 7.9 (range 10-35) mmHg (Wilcoxon signed rank test, p = 0.001). The functional success, i.e., IOP (less-than or equal to)21 mmHg both with and without antiglaucomatous drugs, was 93.3%. The total success rate, i.e., IOP (less-than or equal to)21 mmHg without medication, was 13.3%. The average number of antiglaucomatous drugs used was 3.8 (range 2-5) preoperatively, and 2.2 postoperatively (range 0-4) (Wilcoxon signed rank test, p = 0.011). There was a (greater-than or equal to)30% decrease in the IOP of 66.6% of the eyes. Shallow choroidal detachment as proof of drainage was evident in all cases. Conclusion: Drainage of the aqueous humor from the anterior chamber to the suprachoroidal space via implantation of a modified silicone implant is effective in lowering the IOP in intractable glaucoma.
M. Palamar. Department of Ophthalmology, Faculty of Medicine, Ege University, Bornova, Izmir, 35100, Izmir, Turkey. Email: melispalamar@hotmail.com
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)