eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica Supplement
Bieżący suplement Archiwum Klinika Oczna
1-2/2004
vol. 106
 
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Artykuł oryginalny

Zastosowanie nieprzenikającej sklerektomii głębokiej w leczeniu zaawansowanych postaci jaskry pierwotnej otwartego kąta przesączania

Ariadna Gierek-Łapińska
1
,
Ra­fał Lesz­czyń­ski
1
,
An­drzej Wró­bel
1

  1. Z Katedry i Kliniki Okulistyki Śląskiej Akademii Medycznej w Katowicach
KLINIKA OCZNA 2004, Supl. 1-2: S168–S169
Data publikacji online: 2022/12/30
Pełna treść artykułu Pobierz cytowanie
 


Purpose
The purpose of the paper was to examine the efficacy of non-penetrating deep sclerectomy (NPDS) with sodium hyaluronate implants and mitomycin C in the treatment of advanced cases of open angle glaucoma.

Material and methods
Thirty-five eyes of 35 patients with medically uncontrolled advanced open angle glaucoma were retrospectively analyzed. Visual acuity and intraocular pressure measurement were performed before and after surgery at 1 and 7 days and 1, 6 and 12 months. Visual field was analyzed before and 12 months after surgery.

Results
The mean preoperative intraocular pressure was 27±3,1 mm Hg and 18,1±1,5 at 12 month after surgery (p<0,05). Visual acuity decreased more than two rows on Snellen chart in 4 patients. Visual field analysis shows mean defect MD-17±5.2 before surgery and 20,1 ± 6,2 after 12 month of follow up (p>0,05). Complete success rate defined as an IOP lower than 21mmHg without medications was 51%. In 3 eyes we performed needling and in 8 goniopuncture. Postoperative complications included hyphaema in 3 eyes, choroidal detachement in 1 eye, bleb fibrosis in 2 eyes.

Conclusions
1. Deep sclerectomy with SK-GEL implant and antimetabolites provided good reasonable control of intraocular pressure. 2. In uncomplicated cases it let us achieve stabilization of the visual field.

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