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Abstract #19180 Published in IGR 3-1
Non penetrating deep sclerectomy: medium-term results of the first patients
Guedes VMP; Guedes RAPRevista Brasileira de Oftalmologia 2001; 60: 20-24
PURPOSE: To evaluate the efficacy and the complications of non-penetrating deep sclerectomy (NPDS), a new filtering surgery for glaucoma, associated with mytomicyn C. SETTING: Associacao dos Cegos of Ophthalmology Clinic, Juiz de Fora, MG. METHODS: Twenty patients suffering from primary open-angle glaucoma, not controlled with eye drops, were submitted to this new procedure. The surgery was performed by the same physician and postoperative follow-up continued for up to two months. All patients had a per-operative application of mytomicyn C 0.2 mg/ml for three minutes. RESULTS AND DISCUSSION: For a preoperative pntraocular pressure (IOP) of 25.2 ± 6.2 mmHg, a postoperative IOP of 15.8 ± 3.6 mmHg was observed by the end of two months. The success rate for an IOP of < 16 mmHg was 47% and for an IOP of < 21 mmHg 100%. No case of visual acuity loss was observed. These results confirm those found in the literature. CONCLUSIONS: NPDS is an attractive filtering procedure, since it avoids the early complications that can happen with trabeculectomy. It was efficient in lowering IOP in a postoperative medium-term analysis. Mytomicyn C (0.2 mg/ml for three minutes) seems to avoid filtering bleb failure. LA: Portuguese
Dr V.M.P. Guedes, Centro Juiz de Fora, MG, CEP: 36010-011, Av. Rio Branco, 2337/410, Juiz de Fora, Brazil
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
