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Abstract #24719 Published in IGR 11-4
Mid-term and long-term clinical effect of micro-perforating trabecular surgery with reticulated hyaluronic acid implants on open angle glaucoma
Jiang H-B; Xia O-B; Deng Q-L; Wang P-BInternational Journal of Ophthalmology 2009; 9: 1284-1287
AIM: To evaluate the mid-term and long-term clinical effect and complication of micro-perforating trabecular surgery (MPTS) with reticulated hyaluronic acid implants on open angle glaucoma (OAG). METHODS: Twenty four OAG patients (36 eyes) were treated with MPTS with reticulated hyaluronic acid implants. Visual acuity, intraocular pressure, visual field, the type of blebs and complications were recorded pre-and post-operatively. RESULTS: Patients were followed up for 6-24 (15.93 (plus or minus) 2.35) months. The mean IOPs of the pre-operation and 24 months after the operation were 37.89 (plus or minus) 6.80 mmHg and 18.28 (plus or minus) 1.75 mmHg, respectively (P = 0.000). The mean numbers of anti-glaucoma drugs used before and after the operation were 2.83 (plus or minus) 0.51 and 0.56 (plus or minus) 0.92, respectively (P < 0.05). The global index of the early to moderate glaucomatous visual field loss was significantly improved post-operatively (P < 0.05), and no significant difference was found in aggressive glaucoma between the pre- and postoperation. Functional filter bleb was formed in 82% patients 24 months after the operation. The complete success rate and quality success rate were 81% (29/36) and 94% (34/36) respectively. There was no significant change in visual acuity between the pre-and postoperation, and no severe complication was found. CONCLUSION: Micro-perforating trabecular surgery with reticulated hyaluronic acid implants is effective and safe for OAG, and reliable on lowering IOP effect in the mid-term and long-term. LA: Chinese
O.-B. Xia. Department of Ophthalmology, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China. xbxia21@163.com
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
