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https://www.readbyqxmd.com/read/28292777/trends-in-operating-room-based-glaucoma-procedures-in-france-from-2005-to-2014-a-nationwide-study
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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...
November 8, 2016: 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
#8
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
#9
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
#10
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...
October 11, 2016: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/27599176/differences-in-corneal-biomechanics-in-nonpenetrating-deep-sclerectomy-and-deep-sclerectomy-reconverted-into-trabeculectomy
#11
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
https://www.readbyqxmd.com/read/27592158/descemet-membranotomy-to-treat-pre-descemet-haematoma-after-deep-sclerectomy-and-anterior-segment-oct-related-findings-a-presentation-of-two-clinical-cases
#12
P Casas-Llera, F Arnalich-Montiel, F J Muñoz-Negrete, G Rebolleda
CASE PRESENTATION: An 81 year-old woman and a 63 year-old man developed a pre-Descemet haematoma after deep sclerectomy (DS), the former during the surgery itself and the latter during the early post-operative period. The surgical technique is decribed that led to the evacuation of the haematoma and the preservation of the integrity of trabeculo-Descemet membrane. The anterior-segment OCT findings after surgery are also presented. CONCLUSIONS: These are the first reported cases of pre-Descemet haematoma after DS that have been successfully repaired by an ab interno Descemet membranotomy...
January 2017: Archivos de la Sociedad Española de Oftalmología
https://www.readbyqxmd.com/read/27536048/a-new-ultrasound-biomicroscopic-sign-seen-after-deep-sclerectomy-dolphin-head-sign
#13
REVIEW
Ahmed M Abdelrahman, Hala M El Cheweikh, Dina Ms El-Fayoumi, Riham Shm Allam
PURPOSE: To describe a new ultrasound biomicroscopic (UBM) sign seen in patients who underwent deep sclerectomy (DS) as a surgical procedure for the management of uncontrolled primary open-angle glaucoma (POAG). The presence of this sign in ultrasound biomicroscopy is suggested to be an indicator of successful surgery. We would like to name this sign as the "dolphin head sign." DESIGN: Prospective interventional study. MATERIALS AND METHODS: Twenty-eight eyes of 17 patients with POAG underwent DS with intraoperative mitomycin C (MMC) 0...
May 2016: Journal of Current Glaucoma Practice
https://www.readbyqxmd.com/read/27279995/phacoemulsification-combined-with-deep-sclerectomy-augmented-with-mitomycin-and-amniotic-membrane-implantation-in-chronic-primary-open-angle-glaucoma-with-cataract
#14
Hazem Helmy
OBJECTIVE: The aim of this study was to determine the safety and efficacy of combined phacoemulsification plus Intraocular lens (IOL) implantation with deep sclerectomy augmented with mitomycin C (MMC) and sub-flap implantation of amniotic membrane for the management of uncontrolled, chronic, primary open-angle glaucoma patients. METHODS: This prospective study included 41 patients with chronic, primary, open-angle glaucoma and cataract uncontrolled with medical treatment who underwent combined phacoemulsification augmented with mitomycin C (MMC) application and amniotic membrane implantation under the scleral flap...
April 2016: Electronic Physician
https://www.readbyqxmd.com/read/27058831/a-novel-surgical-approach-for-oculodermal-melanocytosis-superficial-sclerectomy
#15
Seungil Jung, Taejung Kwon, Cheng C Zhang, Roy S Chuck, Ji Won Kwon
OBJECTIVE: To report the outcomes of a new surgical method for oculodermal melanocytosis (nevus of Ota)-superficial scleral separation. METHODS: Twenty-five eyes of 25 patients with scleral pigmentation arising from oculodermal melanocysis. These patients underwent superficial scleral separation between March 2012 and February 2013. Each patient was evaluated with the followings: ocular examinations, the preoperative extent of scleral involvement of nevus of Ota, satisfaction score after surgery, histologic examination, and postoperative complications...
April 6, 2016: Eye & Contact Lens
https://www.readbyqxmd.com/read/27014388/current-and-future-of-laser-therapy-in-the-management-of-glaucoma
#16
Feyzahan Ekici, Michael Waisbourd, L Jay Katz
There has been tremendous progress in the past decades in the utilization of lasers for treating patients with glaucoma. This article reviews the use of lasers in different areas of glaucoma, including the shift from argon laser trabeculoplasty (ALT) to selective laser trabeculoplasty (SLT), laser trabeculoplasty as an initial treatment for glaucoma, new laser trabeculoplasty procedures under investigation, and other recent laser treatment modalities such as endoscopic cyclophotocoagulation and laser-assisted deep sclerectomy...
2016: Open Ophthalmology Journal
https://www.readbyqxmd.com/read/26951530/deep-sclerectomy-in-primary-open-angle-glaucoma-and-exfoliative-glaucoma
#17
Sakari M A Suominen, Mika P Harju, Eija T Vesti
PURPOSE: To study the effect of deep sclerectomy (DS) in primary open-angle glaucoma (POAG) and exfoliative glaucoma (EXG). METHODS: We retrospectively analyzed the intraocular pressure (IOP)-lowering effect of DS in 235 consecutive eyes. Eyes were divided into 2 groups according to glaucoma subtype: POAG (127 eyes) and EXG (108 eyes). Postoperative IOP was the main outcome measurement. We recorded complete and qualified surgical success, need for YAG-laser goniopuncture, and need for postoperative glaucoma medication...
November 4, 2016: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/26886124/updates-on-the-surgical-management-of-pediatric-glaucoma
#18
REVIEW
Yar-Li Tan, Jocelyn Chua, Ching-Lin Ho
Childhood glaucoma is known to be one of the most challenging conditions to manage. Surgical management is more complicated than in adults because of differences in anatomy from adults along with variations in anatomy caused by congenital and developmental anomalies, wide-ranging pathogenetic mechanisms, a more aggressive healing response, and a less predictable postoperative course. Challenges in postoperative examination and management in less cooperative children and the longer life expectancies preempting the need for future surgeries and reinterventions are also contributing factors...
January 2016: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/26831495/nd-yag-laser-goniopuncture-for-deep-sclerectomy-efficacy-and-outcomes
#19
Federico Di Matteo, Paolo Bettin, Marina Fiori, Carlo Ciampi, Alessandro Rabiolo, Francesco Bandello
PURPOSE: To report on the safety and efficacy of Nd: YAG laser goniopuncture (LGP) for postsurgical intraocular pressure increase after deep sclerectomy (DS) in a consecutive cohort of open-angle glaucoma patients. METHODS: This case series included 56 eyes from 49 consecutive patients who underwent LGP between November 2008 and March 2015. Prior to LGP, patients had undergone DS augmented with mitomycin C and injectable cross-linked hyaluronic acid implant between October 2008 and May 2014...
March 2016: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/26782914/-management-of-radius-maumenee-syndrome-treatment-with-deep-sclerectomy-viscocanalostomy-and-collagen-matrix-implantation
#20
S Kazerounian, A Rickmann, K Helaiwa, M Waizel
We describe the case of an 18-year-old female patient who presented with vasodilation of the episcleral vessels in both eyes. The dilated vessels were more prominent in the right eye and, furthermore, examination of the fundus oculi showed a glaucomatous excavation of the right optic disc. No underlying eye or systemic disease was found as the cause for the vasodilation, therefore, Radius-Maumenee syndrome (idiopathic dilated episcleral vessels with secondary open angle glaucoma) was diagnosed. Radius-Maumenee syndrome is a diagnosis by exclusion...
September 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
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