Non-penetrating deep sclerectomy and collagen implant surgery in glaucoma patients with advanced field loss

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dc.contributor.authorAtes H.
dc.contributor.authorAndac K.
dc.contributor.authorUretmen O.
dc.date.accessioned2019-10-27T00:27:08Z
dc.date.available2019-10-27T00:27:08Z
dc.date.issued1999
dc.departmentEge Üniversitesien_US
dc.description.abstractPurpose: The aim of the study was to determine the medium term intraocular pressure (IOP) lowering effects and the potential complications of non-penetrating deep sclerectomy and collagen implant (DSCI) surgery in glaucoma patients. Patients and methods: 54 eyes of 52 patients with medically uncontrolled open angle glaucoma with advanced field loss underwent DSCI under topical anaesthesia. Follow-up period was 24 months. Results: The mean preoperative IOP was 24.7 ± 6.2 mmHg and decreased to 15.1 ± 4.0 mmHg at 24 months (p = 0.0068). During the follow-up period, 36 of 54 eyes (66%) received no topical antiglaucomatous medications. In 18 eyes, monotherapy with topical beta blockers (Betaxolol HCl) was added to the regimen. At last visit, only two patients (3.8%) had IOP greater than 18 mmHg. We did not detect any additional optic disc changes, visual field or visual acuity defects postoperatively. Detailed slit-lamp examination revealed no anterior segment complications regarding the probable complications of trabeculectomy. None of the patients developed surgery related cataract. As a complication, we diagnosed one case of self-limited, shallow choroidal detachment. Conclusion: DSCI appears to provide considerable medium term IOP decrease with few postoperative complications without deteriorating visual acuity. Owing to our medium term results, we believe that DSCI could be a valuable alternative to trabeculectomy especially in cases of advanced medically uncontrolled open angle glaucoma.en_US
dc.identifier.doi10.1023/A:1010745204480en_US
dc.identifier.endpage128en_US
dc.identifier.issn0165-5701
dc.identifier.issue3en_US
dc.identifier.pmid11456247en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage123en_US
dc.identifier.urihttps://doi.org/10.1023/A:1010745204480
dc.identifier.urihttps://hdl.handle.net/11454/23488
dc.identifier.volume23en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofInternational Ophthalmologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdvanced visual field lossen_US
dc.subjectCollagen implanten_US
dc.subjectDeep-sclerectomyen_US
dc.subjectGlaucomaen_US
dc.subjectSurgeryen_US
dc.titleNon-penetrating deep sclerectomy and collagen implant surgery in glaucoma patients with advanced field lossen_US
dc.typeArticleen_US

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