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Abstract #9055 Published in IGR 5-2
A prospective randomised trial of viscocanalostomy with and without implantation of a reticulated hyaluronic acid implant (SKGEL) in open angle glaucoma
Luke C; Dietlein TS; Jacobi PC; Konen W; Krieglstein GKBritish Journal of Ophthalmology 2003; 87: 599-603
AIM: To prospectively assess the efficacy and complications of viscocanalostomy with a reticulated hyaluronic acid implant (VSRHAI) versus standard viscocanalostomy in patients with medically uncontrolled open-angle glaucoma. METHODS: A consecutive series of 40 patients (40 eyes) with uncontrolled open-angle glaucoma underwent non-penetrating antiglaucomatous surgery. After excision of the deep scleral flap, they were randomly assigned to either a standard viscocanalostomy or additional implantation of a reticulated hyaluronic acid implant. Follow-up visits were over a period of 12 months after surgery. RESULTS: The mean preoperative intraocular pressure (IOP) was 26.5 (SD 6.1) mmHg for all patients enrolled. The mean IOP was 8.1 (SD 5.6) mmHg one day after surgery for the viscocanalostomy group (p < 0.001) and 12.0 (SD 5.2) mmHg for the VSRHAI group (p < 0.001). The postoperative IOP difference between the two groups was statistically significant (p = 0.03). The success rate, defined as an IOP lower than 22 mmHg without medication, was 40% in both groups at 12 months postoperatively (p = 0.90). The number of postoperative complications was equally low for both groups. CONCLUSIONS: Both surgical procedures, viscocanalostomy and VSRHAI, provide comparable success rates over a one-year follow-up period. Specific intraoperative and postoperative complications of non-penetrating surgery were seen in this series, although the overall rate of postoperative complications proved equally low for both techniques.
Dr. C. Luke, Zentrum fur Augenheilkunde, Universitat Koln, Joseph-Stelzmann Strasse 9, D-50924 Cologne, Germany. christoph.lueke@uni-koeln.de
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
