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Abstract #8714 Published in IGR 5-1
Non-perforating deep sclerectomy ab externo with intrascleral implant in juvenile glaucoma
Krzywicki S; Szala EKlinika Oczna 2002; 104: 222-225
PURPOSE: Trabeculectomy, a very well-known procedure mainly providing good results, may sometimes produce serious postoperative complications, connected with opening of the anterior chamber. An operating technique proposed by Fyodorov, Zimmerman and Kozlov seems to be useful in all cases of open-angle glaucoma, and does not produce complications such as those caused by trabeculectomy. MATERIAL AND METHODS: Non-perforating sclerectomy was performed on seven children aged eight to 15 yearswith juvenile glaucoma (in fourcases as the first procedure and in three as a secondary technique after trabeculectomy performed more than ten years earlier). The operative technique was performed with an implant to sclera made from natrium sodium of hialuronic acid. Observation lasted from six to 18 months. RESULTS: In six cases, good results were obtained after the first procedure, while in one, reoperation was necessary. Intraocular pressure (IOP; less than 20 mmHg) was low in all eyes during six months of observation, after a year IOP decreased in 72% of cases, but with complimentary local therapy, it was low in all cases. In one eye there was an intraoperative complication: perforated structures of Schlemm's canal, but with no great outflow of aqueous. All visual parameters (visual acuity and visual field) were stable. CONCLUSIONS: This operative technique, although difficult to perform, was not dangerous to the eyes and gave good results, but unfortunately only in some cases.LA: Polish
Dr. S. Krzywicki, Oddzialu Okulistycznego Samodzielnego Publicznego Zespolu Zakladow Opieki Zdrowotnej im. prof. dr. Jana Bogdanowicza w Warszawie, Poland
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
