T-Flux implant versus Healon GV in deep sclerectomy.

Détails

ID Serval
serval:BIB_FB89F9DBD1AB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
T-Flux implant versus Healon GV in deep sclerectomy.
Périodique
Journal of glaucoma
Auteur(s)
Ravinet E., Bovey E., Mermoud A.
ISSN
1057-0829
Statut éditorial
Publié
Date de publication
2004
Peer-reviewed
Oui
Volume
13
Numéro
1
Pages
46-50
Langue
anglais
Notes
Publication types: Clinical Trial ; Journal Article ; Randomized Controlled Trial - Publication Status: ppublish
Résumé
PURPOSE: To compare the efficacy and safety of T-Flux implant versus Healon GV in deep sclerectomy. METHODS: Randomized prospective trial of 23 eyes of 20 patients with medically uncontrolled open angle glaucoma over a period of 24 months, who underwent deep sclerectomy with either Healon GV or T-Flux implant. RESULTS: Mean postoperative intraocular pressure was 13.2 +/- 3.0 mm Hg with T-Flux implant (group 1) and 12.2 +/- 3.5 mm Hg with Healon GV (group 2), with a pressure reduction of 53.0% in group 1 (13.2 mm Hg vs. 28.1 mm Hg) and of 48.1% in group 2 (12.2 mm Hg vs. 23.5 mm Hg). Qualified and complete successes were 100% and 95.4% respectively. Pressures equal to or less than 15 mm Hg were 81.8% in group 1 and 90.9% in group 2 with or without treatment, and 63.6% in group 1 and 81.8% in group 2 without treatment. The number of glaucoma treatments dropped from 2.5 +/- 0.9 to 0.4 +/- 0.7 in group 1 and from 2.2 +/- 1.0 to 0.2 +/- 0.4 in group 2. The goniopuncture rate was 63.6% in group 1 and 36.4% in group 2, with a mean pressure drop of 6.1 +/- 3.9 mm Hg and 3.25 +/- 1.2 mm Hg respectively. Overall, slit-lamp diagnosed surgery-related complications included positive Seidel (13.6%), hyphaema (22.7%), choroidal detachment, and iris incarceration (4.5% each). At 2 years, ultrasound biomicroscopy showed mainly low reflective (40.1%) and flattened (36.4%) blebs. Principally latter ones were associated with the need for adjunctive treatment. A hypoechoic area in the suprachoroidal space was seen in at least 59.1% of eyes at 2 years and was not associated with lower intraocular pressure. CONCLUSION: Deep sclerectomy is an effective and safe surgery. However, longer follow up and larger study groups are required to assess the additional benefit of nonabsorbable implants.
Mots-clé
Aged, Antimetabolites, Blister, Cornea, Female, Filtering Surgery, Glaucoma, Open-Angle, Humans, Hyaluronic Acid, Intraocular Pressure, Male, Middle Aged, Pilot Projects, Prostheses and Implants, Punctures, Sclera, Sclerostomy
Pubmed
Web of science
Création de la notice
28/02/2008 13:01
Dernière modification de la notice
20/08/2019 16:26
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