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Impressum
Medium-term results after deep sclerectomy
Yamin M., Klatt A., Quentin C.-D.
Georg-August-Universität Göttingen, Klinik für Augenheilkunde, Robert- Koch-Strasse 40, 37075 Göttingen
Objective: To evaluate the intra-ocular pressure in eyes with
glaucoma after deep sclerectomy.
Patients and Methods: Prospectively the intra-ocular pressure of
85 eyes (67 patients) with glaucoma was studied after deep sclerectomy.
The mean follow up was 8,9 ±5,9 months. Mitomycin C was applied
in 14 eyes with high risk af fibrous reaction and 11 eyes had a combined
cataract procedure. The deep sclerectomy was performed without using material
of high viscosity or a collagen implant.
Results: The mean preoperative pressure of 25,2 ±8,7 mmHg
could be lowered to 16,6 ±5,9 mmHg (p<0,0001). The number of
glaucoma medications was reduced from 2,2 ±1,1 to 0,4 ±0,9
substances. 25% of eyes needed glaucoma medication again. Perioperatively
11 eyes had a Seidel-phenomenon, 9 eyes a chorioidal detachment and 8
eyes a temporary hyphema.
Conclusion: The deep sclerectomy lowers the intraocular pressure
as good as the standard trabeculectomy and the complication rate is lower
during the early postoperative weeks. It seems that during the follow
up a higher number of eyes need glaucoma medication again.