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Viscocanalostomy: Results of a clinical study (May 1998 to March 2000) at the Department of Ophthalmology, Charité BerlinP. Ruokonen, S. Lechner, A. Rückert, M. Tetz
Background: The viscocanalostomy with deep sclerectomy according to Stegmann s techique, a non-penetrating procedure for open angle-glaucoma, is a most promissing glaucoma surgery as alternative to trabeculectomy.
Patients and methodes: Since May 1998 xy eyes of xy patients (middle age xy years) received viscocanalostomy. Out of these x patients underwent combined viscocanalostomy with phacoemulsification. Following types of glaucoma underwent surgery : PCOAG in x, pseudoexfoliative glaucoma in x, congenital glaucoma in x, glaucoma due to pigmentdispersion, . Prior glaucoma surgery patients received lasertrabeculoplasty, Nd:Yag-iridotomy, cyclophotocoagulation, cyclocryocoagulation, goniotrepanation, trabeculectomy in %.of the cases. The mean follow up was
Results:The mean postoperative intraocular pressure decreased significantly from to. Furthermore antiglaucomatous medication could be reduced from up to
Postoperative complications included hyphema, contemporaly hypertony, hypotony with chorioidal detachment, IOP spike. In x cases a revision had to be performed and led to a decrease of IOP of x.By x patients a cyclophotocoagulation was necessary.
Conclusion: a following prospective, randomized study will the efficiency of viscocanlostomy as an alternative technique with low risk of side effects.
Augenklinik Charité Virchow-Klinikum, Augustenburger Platz 1, D-13353 Berlin