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Abstract #19185 Published in IGR 3-1
Combined cataract-glaucoma surgery with deep sclerectomy instead of goniotrephination in the peri- and early postoperative phases
Mohr A; Rais M; Eckardt COphthalmologe 2001; 98: 253-257
BACKGROUND: The authors examined the value of deep sclerectomy combined with phacoemulsification as a surgical technique in the peri- and postoperative phases. MATERIAL AND METHODS: Deep sclerectomy with phacoemulsification was carried out in 18 patients. Mean postoperative follow-up was 7.5 weeks. RESULTS: Deep sclerectomy was more difficult to perform than goniotrephination. The authors did not observe either fibrin reaction or hypotonic dysregulation (intraocular pressure, IOP, < 8 mmHg). Five patients required additional pressure-lowering drugs during postoperative IOP regulation. CONCLUSIONS: The authors consider the low inflammatory response in the early postoperative phase to outweigh the greater surgical difficulty and prolonged surgery time. Further studies must verify whether higher IOP during the early postoperative phase is sufficient for good long-term IOP regulation. LA: German
Dr. A. Mohr, Augenklinik St. Joseph Stiff GmbH, Schwachhauser Heerstrasse 54, 28209 Bremen, Germany
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
