Comparison of deep sclerectomy with collagen implant and trabeculectomy in open-angle glaucoma.

Détails

ID Serval
serval:BIB_25D24EB820D9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Comparison of deep sclerectomy with collagen implant and trabeculectomy in open-angle glaucoma.
Périodique
Journal of Cataract and Refractive Surgery
Auteur⸱e⸱s
Mermoud A., Schnyder C.C., Sickenberg M., Chiou A.G., Hédiguer S.E., Faggioni R.
ISSN
0886-3350 (Print)
ISSN-L
0886-3350
Statut éditorial
Publié
Date de publication
03/1999
Peer-reviewed
Oui
Volume
25
Numéro
3
Pages
323-331
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Résumé
PURPOSE: To assess the efficacy and postoperative complications of deep sclerectomy with collagen implant (DSCI), a nonpenetrating filtration procedure.
SETTING: Glaucoma Unit, Department of Ophthalmology, University of Lausanne, Switzerland.
METHODS: Forty-four eyes of 44 patients with medically uncontrolled open-angle glaucoma had DSCI and a matched control group of 44 patients, trabeculectomy. A superficial scleral flap was raised and a deep sclerectomy performed in the scleral bed. Schlemm's canal was opened, and the cornea was dissected to Descemet's membrane. At that stage, aqueous filtered through the remaining trabeculo-Descemet's membrane. A collagen implant was sutured radially in the scleral bed; the scleral flap and conjunctiva were then closed. Examinations were performed before surgery and postoperatively at 1 and 7 days and 1, 2, 3, 6, 9, 12, 15, 18, and 24 months.
RESULTS: The mean follow-up was 14.4 months +/- 6.3 (SD) (range 3 to 24 months). The mean preoperative intraoperative pressure (IOP) was 26.7 +/- 7.3 mm Hg. The mean postoperative IOP was 6.1 +/- 4.5 mm Hg at 1 day and 11.0 +/- 4.4 mm Hg at 1 week; it remained stable for the next 24 months. The success rate, defined as an IOP lower than 21.0 mm Hg without medication, was 69% in the DSCI group and 57% in the trabeculectomy group at 24 months postoperatively (P = .047). The number of postoperative complications was significantly lower in the DSCI group than in the trabeculectomy group.
CONCLUSIONS: The success rate of DSCI may be comparable to that of trabeculectomy, with fewer complications.
Mots-clé
Aged, Collagen, Female, Fluorouracil/administration & dosage, Follow-Up Studies, Glaucoma Drainage Implants, Glaucoma, Open-Angle/drug therapy, Glaucoma, Open-Angle/surgery, Humans, Immunosuppressive Agents/administration & dosage, Intraocular Pressure, Male, Postoperative Complications/prevention & control, Sclerostomy/methods, Trabeculectomy/methods, Treatment Outcome
Pubmed
Web of science
Création de la notice
28/01/2008 12:49
Dernière modification de la notice
20/08/2019 13:04
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