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https://www.readbyqxmd.com/read/29177946/clinical-outcomes-after-ex-press-glaucoma-shunt-versus-non-penetrating-deep-sclerectomy-two-year-follow-up
#1
Beatriz Puerto, Cristina López-Caballero, Carmen Sánchez-Sánchez, Noelia Oblanca, Vanesa Blázquez, Inés Contreras
PURPOSE: To compare the two-year outcomes of non-penetrating deep sclerectomy (NPDS) and Ex-PRESS glaucoma shunt. METHODS: A retrospective chart review of patients who had undergone NPDS or Ex-PRESS since 2012 was conducted. Patients were excluded if they had undergone eye surgery other than cataract extraction, were diagnosed with ocular pathology other than glaucoma or had less than two-year follow-up. Pre- and postoperative visual acuity, intraocular pressure (IOP), number of hypotensive drugs and visual fields were recorded, as well as intra- and postoperative complications...
November 24, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/29177182/glaucoma-surgery-and-induced-astigmatism-a-systematic-review
#2
REVIEW
Helen H L Chan, Yu Xiang G Kong
Background: The refractive outcomes of glaucoma surgeries, particularly their effect on astigmatism, are incompletely understood. Main body: Trabeculectomy is associated with a considerable amount of with-the-rule astigmatic change in the immediate postoperative period. This is followed by a gradual against-the-rule shift. These changes are altered with the use of mitomycin C (MMC). Non-penetrating surgery such as deep sclerectomy is also associated with a similar or smaller degree of induced astigmatism...
2017: Eye and Vision (London, England)
https://www.readbyqxmd.com/read/29161717/subconjunctival-prgf-fibrin-membrane-as-an-adjuvant-to-nonpenetrating-deep-sclerectomy-a-2-year-pilot-study
#3
Iñaki Rodríguez-Agirretxe, Vanesa Freire, Francisco Muruzabal, Gorka Orive, Eduardo Anitua, Elio Díez-Feijóo, Arantxa Acera
PURPOSE: To evaluate the potential role of the autologous PRGF (plasma rich in growth factors) fibrin membrane in tissue regeneration after glaucoma filtering surgery. MATERIALS AND METHODS: Ten patients with medically uncontrolled primary open-angle glaucoma underwent nonpenetrating deep sclerectomy and were treated with PRGF fibrin membrane as adjuvant. Intraocular pressure reduction was the primary outcome. This variable was measured preoperatively and also at each follow-up visit...
November 22, 2017: Ophthalmic Research
https://www.readbyqxmd.com/read/29147757/prospective-evaluation-of-co2-laser-assisted-sclerectomy-surgery-class-with-mitomycin-c
#4
Carlo Alberto Cutolo, Alessandro Bagnis, Riccardo Scotto, Chiara Bonzano, Carlo Enrico Traverso
PURPOSE: Our purpose was to evaluate the clinical safety and efficacy of CO2 laser-assisted sclerectomy surgery (CLASS) with Mitomycin C (MMC) in open angle glaucoma (OAG). METHODS: This was a prospective, uncontrolled, interventional case series. All subjects underwent CLASS procedure by a single surgeon. After the dissection of a partial thickness scleral flap, topical MMC 0.2 mg/ml was applied to the sclera and the conjunctiva for 3 min. The CO2 laser with a beam-manipulating system was used to ablate the scleral tissue and expose the Schlemm's canal area...
November 17, 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/29045332/sutureless-deep-sclerectomy-a-preliminary-report
#5
Ahmed M Abdelrahman, Rasha ElTanamly, Mohamed Sabry
This study describes a modification of deep sclerectomy, making it completely sutureless, with a 6-month follow-up period. This was a prospective pilot phase that included 24 eyes of 16 patients, 13 male individuals and 3 female individuals, with medically uncontrolled open-angle glaucomas despite maximally tolerated medical therapy. After excising the deep flap, no sutures are added to the superficial scleral flap or to the conjunctiva. A statistically significant reduction of the intraocular pressure was reported during all the follow-up visits without serious complications...
November 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28991416/differences-in-bleb-morphology-between-trabeculectomy-and-deep-sclerectomy
#6
EDITORIAL
Nathan M Kerr
No abstract text is available yet for this article.
September 2017: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/28991150/two-year-results-after-deep-sclerectomy-with-nonabsorbable-uveoscleral-implant-esnoper-clip-surgical-area-analysis-using-anterior-segment-optical-coherence-tomography
#7
Pau Romera-Romero, Jordi Loscos-Arenas, Aina Moll-Udina, Nevena Romanic-Bubalo, Jordi Castellvi-Manent, Xavier Valldeperas
PURPOSE: To report 2-year results of deep sclerectomy (DS) with mitomycin C and the uveoscleral implant Esnoper-Clip (AJL Ophthalmics, Álava, Spain), a nonabsorbable hema implant, and the morphologic analysis of the surgical area with anterior segment optical coherence tomography (AS-OCT). MATERIALS AND METHODS: In total, 41 eyes of 41 patients with medically uncontrolled open angle glaucoma who underwent DS with the uveoscleral implant were included in this prospective interventional study...
October 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28980565/-combination-treatment-for-cataract-and-glaucoma
#8
M A Frolov, A M Frolov, K A Kazakova
AIM: To develop a new combination treatment for cataract and glaucoma that would involve drainage of the suprachoroidal space with an autoscleral flap and to assess the outcomes of patients who underwent combined phacoemulsification and non-penetrating deep sclerectomy with suprachoroidal drainage with an autoscleral flap. MATERIAL AND METHODS: We have studied the results of combination surgical treatment of cataract and glaucoma performed in 34 patients (34 eyes), notably phacoemulsification and non-penetrating deep sclerectomy with suprachoroidal drainage...
2017: Vestnik Oftalmologii
https://www.readbyqxmd.com/read/28834385/long-term-results-of-deep-sclerectomy-in-normal-tension-glaucoma
#9
Mika Harju, Sakari Suominen, Pasi Allinen, Eija Vesti
PURPOSE: To study the long-term outcome of deep sclerectomy with and without mitomycin-C (MMC) in patients with normal-tension glaucoma (NTG). METHODS: We prospectively analysed consecutive patients randomized to surgery performed either with (MMC group) or without (non-MMC) MMC. Surgery was considered totally successful if, after surgery, the preoperative intra-ocular pressure (IOP) level was reduced by 25% without medication, and a qualified success if medication was required to achieve the same limits...
August 21, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/28777384/changes-in-anterior-ocular-structures-and-macula-following-deep-sclerectomy-with-collagen-implant
#10
Sakari M A Suominen, Mika P Harju, Asta M E Hautamäki, Eija T Vesti
PURPOSE: To determine the effect of intraocular pressure (IOP) lowering with deep sclerectomy (DS) on visual acuity, macular structures, and anterior ocular dimensions during the early postoperative period. METHODS: We prospectively analyzed 35 eyes of 35 patients scheduled for DS. Our focus with the measurements was on early postoperative changes in anterior ocular and macular structures related to IOP lowering during the first month after DS. In addition to a clinical ophthalmologic examination, our measurements included corneal topography, measurement of ocular dimensions with optical biometry, and examination of macular structure with optical coherence tomography...
August 2, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28643797/deep-sclerectomy-for-uveitic-glaucoma-long-term-outcomes
#11
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
#12
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.
September 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
#13
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
#14
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
#15
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
#16
REVIEW
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
#17
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...
August 30, 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
#18
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...
September 2017: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/28358901/custom-rt-qpcr-array-for-glaucoma-filtering-surgery-prognosis
#19
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
#20
MULTICENTER STUDY
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...
November 2017: British Journal of Ophthalmology
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