Five year results of viscocanalostomy

Détails

ID Serval
serval:BIB_A135A9846876
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Five year results of viscocanalostomy
Périodique
British Journal of Ophthalmology
Auteur(s)
Shaarawy  T., Nguyen  C., Schnyder  C., Mermoud  A.
ISSN
0007-1161 (Print)
Statut éditorial
Publié
Date de publication
04/2003
Volume
87
Numéro
4
Pages
441-5
Notes
Journal Article --- Old month value: Apr
Résumé
AIM: To prospectively study the success rate and complications of viscocanalostomy, a non-penetrating glaucoma surgery. METHODS: Prospective non-randomised consecutive case series of 57 eyes (57 patients) with medically uncontrolled primary and secondary open angle glaucoma. Viscocanalostomy was performed on all participants with injection of viscoelastic in the surgically created ostia of Schlemm's canal as well as in the scleral bed, the superficial scleral flap was loosely sutured. Intraocular pressure, visual acuity, and number of goniopunctures were measured. RESULTS: The mean follow up period was 34.1 months. The mean preoperative intraocular pressure (IOP) was 24.6 mm Hg; while the mean postoperative IOP was 5.6 mm Hg at day 1 and 13.9 mm Hg at 36 month. Patients who achieved IOP below 21 mm Hg with or without medication were 90% at 60 months, complete success rate (IOP<21 mm Hg without medication) was 60% at 60 months. 21 patients (37%) needed Nd:YAG goniopuncture postoperatively to control raised IOP, mean time for goniopuncture application was 9.4 months, mean pre-goniopuncture IOP was 20.4 mm Hg and mean postgoniopuncture IOP was 12.6 mm Hg (p <0.0001). CONCLUSION: Viscocanalostomy appears to be a promising modification of filtering surgery.
Mots-clé
Aged Female Filtering Surgery/adverse effects/*methods Follow-Up Studies Glaucoma/physiopathology/*surgery Humans Intraocular Pressure/physiology Laser Surgery Male Postoperative Care/methods Prospective Studies Treatment Outcome Visual Acuity/physiology
Pubmed
Web of science
Open Access
Oui
Création de la notice
28/01/2008 13:49
Dernière modification de la notice
20/08/2019 16:07
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