Publication details
Dlouhodobé výsledky u hlubokých sklerektomií
| Title in English | Deep sclerectomy - long term results. |
|---|---|
| Authors | |
| Year of publication | 2012 |
| Type | Article in Proceedings |
| Conference | Sborník abstrakt. XX. výroční sjezd ČOS. |
| MU Faculty or unit | |
| Citation | |
| Field | ORL, ophthalmology, stomatology |
| Keywords | deep sclerectomy; intrascleral implants; T-Flux; collagen |
| Description | Objective: To evaluate the long-term compensation after non-penetrating deep sclerectomies (DS) with the use of various types of intrascleral implants. Method : Total 92 eyes who underwent DS, were divided into three groups according to usage of intrascleral implant and its type. The first group consisted of 34 eyes (29 patients) was operated by technique DS without implant (DSW), the second group consisted of 31 eyes (25 patients) was operated by technique DS with an absorbable implant Staar© (DS+S) and the third group consisted of 27 eyes (22 patients) was operated by technique DS with non-absorbable implant T-Flux© (DS+T). Basic parameters of sets were statistically compared. It was also statistically evaluated intraocular pressure (IOP) and the amount of antiglaucomatous therapy preoperatively and postoperatively . Results: Due to the asymmetric distribution of the data (caused by gradually reducing the number of patients in the group over time), the results of monitored parameters are represented by the median and 5th and 95th percentile. Age at time of surgery was: DSW 65.6(44.9,77.9), DS+S 64.5(44.8,85.0) and DS+T 72.1(51.8,77,0) years . The follow up period was: DSW 84(36,145), DS+S 96(36,141) and DS+T 81(36,134) months. Group of DSW included 14 men (41.2 %) and 20 women (58.8 %) , group of DS+S included 10 men (32.3 %) and 21 women (67.7 %) and a group of DS+T included 10 men (37.0%) and 17 women (63.0 %) . No statistically significant differences in the composition of groups were found (e.g. age at time of surgery and follow-up period). IOP before surgery was in the group of DSW 26(20,32), at DS+S 26(20,34) and at DS+T 26(21,34) mmHg . There was no difference of IOP preoperatively between groups. Postoperative IOP was in a group of DSW 14(4,18), at DS+S 14(4,22) and at DS+T 8(2,16) mmHg . IOP at 96 months after the operation was in a group of DSW 17(13,23), at DS+S 17(12,21) and at DS+T 14(12,18) mmHg. IOP at 132 months after the operation was in a group of DSW 18(13,20), at DS+S 18(10,22) and at DS+T 15(13,16) mmHg. A statistically significant difference of IOP postoperatively was found at 12, 24, 36, 48, 72 and 96 months. Quantity of required postoperative local antiglaucomatous therapy was documented by monitoring of cumulative number of used package. Up to 36 months after surgery there was not used any local antiglaucomatous therapy: at DSW in 14.7% (5 eyes), at DS+S in 9.7% (3 eyes) and at DS+T in 51.9% (14 eyes). Conclusion : DS is an appropriate surgical technique to reduce the IOP at patients with glaucoma. Use of T-flux implant provides the best results in our groups. |