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Abstract #17582 Published in IGR 9-2
Clinical observation of deep sclera and Descemetic membrane incision for glaucoma
Zhao X; Li B; Wu M; Lin SChinese Ophthalmic Research 2007; 25: 132-134
Objective: With the improvement of current antiglaucoma operation technique, the successful rate of the control of intraocular pressure (IOP) is significantly increased. However, the scar formation of filtration bulb after surgery is still a main cause leading to a failure outcome. In current investigation, we evaluated the clinical outcome of deep sclera cauterization and Descemetic membrane incision in glaucoma. METHODS: Deep sciera and Descemetic membrane incision was performed in 113 eyes of 96 patients with open-angle glaucoma, close-angle glaucoma and refractory neovascular glaucoma. Follow-up period ranged from 1 year to 10 years (mean 21.5 months). RESULTS: The mean IOP was lowered from preoperation (74.94 ± 11.26) mmHg to postoperation (18.11 ± 3.40) mmHg in acute close-angle glaucoma (t = 35.832 2, P < 0.05) ; (37.94 (±) 5.63) mmHg versus (16.54 ± 1.84) mmHg in chronic close-angle glaucoma(t = 23.134 5, P < 0.05) ; (32.48 ± 4.17) mmHg versus (16.54 ± 3.15) mmHg in primary open-angle glaucoma(t = 9.645 3, P <0.01) ; (46.76 ± 7.12) mmHg versus (18.09 ± 2.21) mmHg in secondary glaucoma(t = 8.599 2, P < 0.01) and (43.86 ± 2.13) mmHg versus (18.31 ± 2.57) mmHg in refractory neovascular glaucoma(t = 4.773 4, P < 0.05). The functional bulb forming was seen in 98 eyes (86.7%) after operation. The mean vision acuity was significantly changed before and after operation(P < 0.05). No severe intraoperative and postoperative complications were found. CONCLUSION: A safe and effective result is observed in the deep sclera and Descemetic membrane incision in the treatment of various glaucoma. LA: Chinese
Dr. X. Zhao, Department of Ophthalmology, CPLA-234 Hospital, Chaoyang 122000, China. zhao6602@yahoo.com.cn
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)