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Abstract #24521 Published in IGR 11-4
Ophthalmologic evaluation of patients submitted to drainage implant in refractory glaucoma
Moreno NP; de Sousa LB; Duarte FB; Tessarioli JGArquivos Brasileiros de Oftalmologia 2009; 72: 225-230
Purpose: To evaluate aspects of patients submitted to drainage implant procedures before and after surgery. Methods: A retrospective study was done, with patients submitted to drainage implant procedures in the Glaucoma Sector of the Hospital Oftalmologico de Sorocaba, from January, 2004 to December, 2006. The following characteristics were evaluated: gender, age, treated eye, glaucoma type, number of previous ophthalmologic surgeries, previous intraocular pressure and check-ups. The visual acuity was observed before and after the implant, the number of glaucoma medications given after the implant, the main complications and the necessity of a second intervention. Results: Among the 92 patients, 65.3% (n=60) were male and 34.7% (n=32) were female. The main types of glaucoma were 38.9% (n=37) due to cornea transplant and 25.3% (n=24) to neovascular glaucoma. The intraocular pressure average before implant was 32 ((plus or minus)11.29) mmHg and after implant it was 18 ((plus or minus)8.11) mmHg in 100% (n=95) eyes, 15 ((plus or minus) 10.89) mmHg in 100% (n= 95), 16 ((plus or minus)11.64) mmHg in 55.7% (n=54) and 20 ((plus or minus)10.31) mmHg in 21.6% (n=21) for the period of 2 months, 6 months, 1 and 2 years, respectively. The most frequent complications were implant migration (8.5%) and shallow anterior chamber (5.4%). Conclusion: A satisfactory evolution in the patients after implants, taking into consideration several causes of glaucoma. A significant reduction of intraocular pressure was found in the period of 2 months, at 1 and 2 years (p< 0.05). The complications occurred and progressed independent of the type of glaucoma, number of previous surgeries, age or gender. LA: Portuguese
N.P. Moreno. Rua Vicencia Faria Verssagi, 311/102, Sorocaba (SP) CEP 18031-080. npmoreno@uol.com.br
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
