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Abstract #46517 Published in IGR 13-3
Supraciliary shunt in refractory glaucoma
Figus M; Lazzeri S; Fogagnolo P; Iester M; Martinelli P; Nardi MBritish Journal of Ophthalmology 2011;
Aims: This study aimed to evaluate the efficacy of Gold Micro Shunt (GMS) for suprachoroidal drainage in patients with refractory glaucoma. Methods: This is a prospective uncontrolled case series study. Fifty-five eyes of 55 patients were included. Study eyes underwent GMS implantation in the supraciliary space. Follow-up visits were performed on day 1, week 1 and months 1, 3, 6, 12 and 24; patients underwent slitlamp examination, Goldmann applanation tonometry, ultrasound biomicroscopy and gonioscopy. Results: Before inclusion, the eyes underwent an average ((plus or minus)SD) of 1.9(plus or minus)0.7 (range 1-5) previous glaucoma surgery procedures. Forty eyes were pseudophakic, 12 were phakic and 3 were aphakic. The mean baseline intraocular pressure was 30.8(plus or minus)8.8 mm Hg (range 22-58 mm Hg) despite maximal medical treatment. After 2 years of follow-up, qualified success was achieved in 37 eyes (67.3%) and complete success was achieved in 3 eyes (5.5%). In success group patients, mean intraocular pressure decreased from 27.6(plus or minus)6.9 at baseline to 13.7(plus or minus)2.98 mm Hg after 2 years of follow-up; the mean ((plus or minus)SD) number of medications was 1.4(plus or minus)0.7 in the postoperative phase, compared with a value of 2.5(plus or minus)0.9 in the preoperative phase. Mild side effects occurred in 21 patients, with mild or moderate postoperative hyphema being the most frequent one. Development of a thin membrane, obstructing the anterior holes, was the most important factor affecting the efficacy of this device; it was found to be present in 12 patients from the failure group (66.7% of failures). Conclusion: GMS achieved qualified success in about 67.3% of eyes with uncontrolled refractory glaucoma with a low rate of complications.
M. Figus. Department of Neuroscience, Ophthalmology, University of Pisa, Via Paradisa, 2 - Edificio 30, Pisa 5, .
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
