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Abstract #6915 Published in IGR 4-1
Non-penetrating deep sclerectomy for glaucoma
Fang A; Qu J; Wang QChinese Ophthalmic Research 2001; 19: 530-532
OBJECTIVE: To study the clinical effectiveness of non-penetrating deep sclerectomy. METHODS: Forty-one eyes of 32 patients with open angle glaucoma had non-penetrating deep sclerectomy (NPDS). A superficial scleral flap was raised and deep sclerectomy was performed in the scleral bed. Schlemm's canal was opened and dissection of the cornea was performed up to Descemet's membrane, at which point aqueous percolated through the remaining trabeculo-Descemet's membrane. Vision acuity, intraocular pressure (IOP) measurements, slit lamp and opthalmicroscope examinations were performed before surgery and at one, two, eight, and 15 days, and one, two, three, six, and nine months after surgery. RESULTS: The mean preoperative IOP was 32.96 ± 13.02 mmHg (1 mmHg = 0.133 kPa). The mean postoperative IOP was 12.27 ± 3.48 mmHg during the follow-up period (three to nine months). Operative complications included perforation during operation in 13 patients. Except for two hyphemas, no postoperative complications occurred in any of the non-penetrating patients. CONCLUSION: NPDS appears to provide reasonable control of IOP, with few complications.
Dr. A. Fang, Affiliated Optometry Eye Hospital, Wenzhou Medical College, Wenzhou 325003, China
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
