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https://www.readbyqxmd.com/read/28643797/deep-sclerectomy-for-uveitic-glaucoma-long-term-outcomes
#1
K Mercieca, L Steeples, N Anand
PurposeTo report long-term outcomes of deep sclerectomy (DS) in eyes with raised intraocular pressure (IOP) and glaucoma secondary to uveitis.Patients and methodsRetrospective consecutive case series of 43 eyes of 43 patients with uveitic glaucoma. Mitomycin C (MMC) 0.2-0.4 mg/ml was applied sub-conjunctivally prior to scleral flap dissection for 2-3 min in 35 eyes (81%). Combined phacoemulsification and DS was done in 4 cases (9%).ResultsMean follow-up was 68.5±33.5 months. In total, 23 eyes (53.5%) had previous intraocular surgery...
July 2017: Eye
https://www.readbyqxmd.com/read/28557826/intracorneal-hematoma-after-ahmed-glaucoma-valve-implant-surgery
#2
Ahmed Al Habash, Omar Al Abdulsalam, Awad Al-Qarni
Intracorneal hematoma or hemorrhagic descemet detachment is a rare phenomenon. It has been previously described after nonpenetrating glaucoma surgeries such as canaloplasty, viscocanalostomy, and deep sclerectomy. In this report, we describe a rare case of intracorneal hematoma as a yet nondocumented complication after Ahmed glaucoma valve implant surgery.
May 26, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28546928/modified-deep-sclerectomy-combined-with-ex-press-filtration-device-versus-trabeculectomy-for-primary-open-angle-glaucoma
#3
Vassilios Kozobolis, Georgios D Panos, Aristeidis Konstantinidis, Miguel Teus, Georgios Labiris
AIM: To compare the efficacy of modified deep sclerectomy combined with Ex-PRESS shunt versus trabeculectomy in primary open angle glaucoma. METHODS: This is a prospective cohort comparative single-center study. Forty-nine eyes of 49 patients were enrolled in the study. Patients were randomly divided into two groups. Group A (22 patients) underwent classic trabeculectomy and group B (27 patients) underwent modified deep sclerectomy combined with insertion of Ex-PRESS model P50 drainage device...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28468537/-experiences-with-co2-laser-assisted-sclerectomy-surgery
#4
Zoltán Sohajda, Ildikó Káldi, Magdolna Kiss, Andrea Facskó
INTRODUCTION: CO2 laser- assisted sclerectomy surgery (CLASS) can be used for the surgical treatment of open-angle glaucoma. AIM: To introduce our results with CLASS. METHOD: We performed 21 CLASS operations using OT-134-IOPtiMate (IOPtima Ltd, Ramat-Gan, Israel). Patients were examined on the 1st day, and in the 1st, 3rd, 6th, 9th and 12th months postoperatively. We evaluated intraocular pressure (IOP), antiglaucomatous medication-use, visual acuity, complications...
May 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28457293/r%C3%A3-sultats-pressionnels-et-visuels-%C3%A3-long-terme-de-la-scl%C3%A3-rectomie-profonde-dans-le-glaucome-cong%C3%A3-nital-primitif
#5
Aurore Aziz, Fréderic Matonti, Pierre Lebranchu, Omar Fakhoury, Grégoire Alessi, Emmanuelle Pieri, Danièle Denis
OBJECTIVE: To estimate long term future of pressure and vision of children who underwent DS for CPG. MATERIAL AND METHODS: Children affected by CPG, aged from 1 day to 3 years at the time of the diagnosis were retrospectively included between 1999 and 2014. All benefited from a DS with use of antimetabolites. Preoperative and long-term post-operative intraocular pressures (IOP), per and postoperative complications as well as visual acuity and refractive status were estimated...
April 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/28442685/deep-sclerectomy
#6
Sylvain Roy, André Mermoud
Filtering surgery evolved from the classic trabeculectomy, in which penetration into the anterior chamber is a necessary step, toward nonpenetrating deep sclerectomy. The first procedure presents several serious complications, such as durable hypotony, hyphema, flat anterior chamber, choroidal detachment, endophthalmitis, and surgery-induced cataract. To avoid such drawbacks, a novel nonpenetrating technique was designed to improve the predictability of the intraocular pressure (IOP)-lowering action, while reducing the incidence of the immediate postoperative complications encountered with the penetrating method...
2017: Developments in Ophthalmology
https://www.readbyqxmd.com/read/28430332/relationship-between-corneal-biomechanical-properties-and-optic-nerve-head-changes-after-deep-sclerectomy
#7
Laura Díez-Álvarez, Francisco J Muñoz-Negrete, Pilar Casas-Llera, Noelia Oblanca, Victoria de Juan, Gema Rebolleda
PURPOSE: To evaluate corneal biomechanical properties and optic nerve head (ONH) changes following deep sclerectomy (DS) and the relation to each other. METHODS: Forty-nine eyes with primary open-angle glaucoma that underwent DS were studied. Corneal biomechanical properties were assessed using the Ocular Response Analyzer and the ONH was evaluated by Spectralis optical coherence tomography with enhanced depth imaging technology before surgery and 3 months postoperatively...
April 4, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28371125/comparison-of-bleb-morphology-between-trabeculectomy-and-deep-sclerectomy-using-a-clinical-grading-scale-and-anterior-segment-optical-coherence-tomography
#8
Lawrence J Oh, Eugene Wong, Julie Lam, Colin I Clement
IMPORTANCE: The role of the filtration bleb for IOP management following trabeculectomy (TRAB) and deep sclerectomy (DS) in glaucoma is highlighted in this study. BACKGROUND: This study serves to analyse the bleb morphology and IOP using the Indiana Bleb Appearance Grading Scale (IBAGS) and the anterior-segment optical coherence tomography (AS-OCT) postoperatively and at 3 months. DESIGN: The retrospective study was performed by a single surgeon...
March 30, 2017: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/28358901/custom-rt-qpcr-array-for-glaucoma-filtering-surgery-prognosis
#9
Iñaki Rodriguez-Agirretxe, Iker Garcia, Javier Soria, Tatiana Maria Suarez, Arantxa Acera
Excessive subconjunctival scarring is the main reason of failure of glaucoma filtration surgery. We analyzed conjunctival and systemic gene expression patterns after non penetrating deep sclerectomy (NPDS). To find expression patterns related to surgical failure and their correlation with the clinical outcomes. This study consisted of two consecutive stages. The first was a prospective analysis of wound-healing gene expression profile of six patients after NPDS. Conjunctival samples and peripheral blood samples were collected before and 15, 90,180, and 360 days after surgery...
2017: PloS One
https://www.readbyqxmd.com/read/28292777/trends-in-operating-room-based-glaucoma-procedures-in-france-from-2005-to-2014-a-nationwide-study
#10
Alain M Bron, Anne-Sophie Mariet, Eric Benzenine, Louis Arnould, Vincent Daien, Jean François Korobelnik, Catherine Quantin, Catherine Creuzot-Garcher
PURPOSE: To report the trends in operating room-based glaucoma procedures from 2005 to 2014 in France. METHODS: We identified operating room-based glaucoma procedures (trabeculectomies, deep sclerectomies, aqueous shunts and ciliary body destructions) performed in France from 2005 to 2014 by means of billing codes from a national database. The annual rates and incidence of these procedures per 100 000 inhabitants were analysed globally and in three age groups: 0-14 years, 15-59 years and over 60 years...
March 14, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28182090/deep-sclerectomy-with-nonabsorbable-implant-t-flux-in-patients-with-pseudoexfoliation-glaucoma
#11
Pavel Studeny, Alina-Dana Baxant, Jana Vranova, Pavel Kuchynka, Jitka Pokorna
Purpose. To evaluate the effectiveness of deep sclerectomy with T-flux implant (DS T-flux) in patients with pseudoexfoliation glaucoma (PExG). Methods. 20 eyes of 18 patients with medically uncontrolled PExG have undergone DS T-flux implantation. Postoperatively we evaluated the IOP values and the frequency of complications. The minimum follow-up time was 12 months (20 eyes) and the maximum 24 months (10 eyes). Results. The mean preoperative IOP was 36.8 ± 8.7 mmHg. The IOP significantly decreased throughout all postoperative periods (P < 0...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28159633/ring-melanoma-of-the-anterior-chamber-angle-as-a-mimicker-of-pigmentary-glaucoma
#12
REVIEW
Anni Stadigh, Päivi Puska, Eija Vesti, Ari Ristimäki, Joni A Turunen, Tero T Kivelä
A 19-year-old man noticed blurred vision in his right eye. He had an intraocular pressure of 60 versus 12 mmHg in the fellow eye. He was initially diagnosed with an atypical, advanced pigmentary glaucoma. The intraocular pressure did not respond to maximal medication, deep sclerectomy, goniopuncture, and 2 cyclophotocoagulations. Sixteen months after presentation, malignancy was first suspected, and the eye was enucleated. A ring melanoma of the anterior chamber angle was confirmed by the histopathologic examination...
February 1, 2017: Survey of Ophthalmology
https://www.readbyqxmd.com/read/28139882/oxidized-low-density-lipoprotein-lipid-and-calcium-aggregates-reveal-oxidative-stress-and-inflammation-in-the-conjunctiva-of-glaucoma-patients
#13
Minna Helin-Toiviainen, Seppo Rönkkö, Kai Kaarniranta, Tuomo Puustjärvi, Petri Rekonen, Minna Ollikainen, Hannu Uusitalo
PURPOSE: Conjunctival specimens from primary open-angle glaucoma (POAG), exfoliation glaucoma (ExG) patients and controls were histologically analysed for oxidized low-density lipoprotein (ox-LDL), lipid and calcium aggregates. Our goal was to use them as biomarkers of oxidative stress and inflammation and to evaluate their correlation with glaucoma and impact on surgical outcome. METHODS: Conjunctival samples were obtained from POAG (n = 14) and ExG (n = 17) patients and from control subjects (n = 11) operated for macular hole, retinal detachment or strabismus...
January 31, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/28112133/comparison-of-deep-sclerokeratodissection-a-new-variant-of-nonpenetrating-glaucoma-surgery-with-deep-sclerectomy
#14
Anna Sophie Mursch-Edlmayr, Daniel S Mojon, Michael Ring, Peter Laubichler, Nikolaus Luft, Siegfried Georg Priglinger
PURPOSE: The aim of this study was to evaluate the safety and efficacy of deep sclerokeratodissection (DSKD), a new nonpenetrating technique in glaucoma surgery. MATERIALS AND METHODS: Retrospective comparison between patients treated with DSKS or deep sclerectomy (DS) between 2013 and 2014. In DSKD, the first and only flap is dissected directly into clear cornea with unroofing Schlemm's canal. Beside routine clinical follow-up (visual acuity, intraocular pressure [IOP] readings, slit lamp and fundus examination), postoperative ultrasound biomicroscopy (UBM) investigation and quality of life (QoL) assessment were performed...
December 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28081326/the-effect-of-deep-sclerectomy-on-ocular-blood-flow-a-6-month-clinical-trial
#15
Arzu Özsoy, Murat Sinan Sarıcaoğlu, Mehtap Çavuşoğlu
BACKGROUND/AIM: To investigate the effect of deep sclerectomy on retrobulbar blood flow. MATERIALS AND METHODS: This prospective study included 20 eyes of 20 patients with open angle glaucoma. Color Doppler imaging (CDI) examinations were performed before and 2, 12, and 24 weeks after deep sclerectomy. Peak systolic velocity (PSV), end diastolic velocity (EDV), and resistance index (RI) were measured for the ophthalmic artery (OA), central retinal artery (CRA), and temporal and nasal short posterior ciliary arteries (SPCAs) at each examination and the results were compared...
December 20, 2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/27828910/different-surgical-modalities-for-management-of-persistent-glaucoma-after-silicone-oil-removal-in-vitrectomized-eyes-one-year-comparative-study
#16
Heba Magdy El-Saied, Mohamad Amr Salah Eddin Abdelhakim
PURPOSE: Aim of this study was to compare outcome of four different surgical modalities for management of persistent glaucoma after silicone oil removal in vitrectomized eyes. METHODS: This is a prospective comparative study, carried out on a cohort of 41 eyes (41 patients). Patients were randomly allocated to Group A (trabeculectomy), Group B (deep sclerectomy), Group C (Ahmed valve), or Group D (Ex-Press Minishunt). Postoperatively, all patients were followed regularly at 1 day, 1 week, 1, 3, and 6 months, and 1 year for intraocular pressure evaluation...
August 2017: Retina
https://www.readbyqxmd.com/read/27828849/preliminary-results-of-co2-laser-assisted-sclerectomy-surgery-class-in-the-treatment-of-advanced-glaucoma-in-a-chinese-population
#17
Doris W F Yick, Jacky W Y Lee, Susanna Tsang, Barry Y M Yeung, Can Y F Yuen
To evaluate the efficacy and safety of CO2 laser-assisted sclerectomy surgery (CLASS) in Chinese patients with advanced glaucoma.Patients with advanced glaucoma who were candidates for glaucoma filtration surgery were included. The intraocular pressure (IOP) and number of antiglaucoma medications were documented before surgery and at all postoperative clinic visits. All intra- and postoperative complications were documented. The primary outcome measures were the changes in IOP and medication use before and after the procedure as well as complications from the procedure...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27782950/mid-term-clinical-results-of-co2-laser-assisted-sclerectomy-surgery-class-for-open-angle-glaucoma-treatment
#18
Noa Geffen, Michael Mimouni, Mark Sherwood, Ehud I Assia
PURPOSE: To evaluate the efficacy and safety of CO2 Laser-assisted Sclerectomy Surgery (CLASS) in primary and pseudoexfoliative open-angle glaucoma. MATERIALS AND METHODS: Single-arm, open-label study included data from 9 medical centers located in 7 countries. Subjects underwent nonpenetrating CLASS procedure with a CO2 laser system (IOPtiMate). Intraocular pressure (IOP) and number of medications were measured at baseline, 1, 2, 4, and 6 weeks, and 3, 6, 12, 24, and 36 months...
December 2016: Journal of Glaucoma
https://www.readbyqxmd.com/read/27726283/survey-of-glaucoma-surgical-preferences-and-post-operative-care-in-the-united-kingdom
#19
Ignacio Rodriguez-Una, Augusto Azuara-Blanco, Anthony J King
BACKGROUND: To evaluate the spectrum of glaucoma surgery and the post-operative follow-up regimes undertaken among glaucoma specialists in the United Kingdom. DESIGN: National survey. PARTICIPANTS: Seventy-five glaucoma specialists (consultants and fellows). METHODS: An eight-question survey was emailed to all glaucoma subspecialists members of the United Kingdom and Eire Glaucoma Society. MAIN OUTCOME MEASURES: Surgery undertaken, post-operative management, awareness of intervention tariff and handling of the follow-up burden generated through surgery...
April 2017: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/27599176/differences-in-corneal-biomechanics-in-nonpenetrating-deep-sclerectomy-and-deep-sclerectomy-reconverted-into-trabeculectomy
#20
Alfonso Casado, Carmen Cabarga, Ane Pérez-Sarriegui, Enrique Fuentemilla
PURPOSE: To evaluate the differences in intraocular pressure (IOP) and in corneal biomechanics in eyes with uneventful nonpenetrating deep sclerectomy (NPDS) in 1 eye and with intended deep sclerectomy reconverted into trabeculectomy (RIT) in the fellow eye of the same patient. PARTICIPANTS: Forty eyes of 20 patients with both types of glaucoma surgery and more than 6 months of follow-up, and 31 eyes of 50 controls. METHODS: IOP was assessed with Goldmann applanation tonometry (GAT), ocular response analizer (ORA), and dynamic contour tonometer (DCT)...
January 2017: Journal of Glaucoma
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