Surgical outcomes of deep sclerectomy with collagen implant.
10.3341/kjo.2001.15.2.107
- Author:
Chan Yun KIM
1
;
Hae Ran CHANG
;
Ji Hoon LEE
;
Young Jae HONG
Author Information
1. Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
complications;
deep sclerectomy with collagen implant;
glaucoma;
nonpenetrating filtering surgery;
surgical outcomes
- MeSH:
Adult;
Aged;
Collagen/*administration & dosage/therapeutic use;
Female;
Glaucoma/etiology/*surgery;
Glaucoma, Open-Angle/surgery;
Human;
Male;
Middle Age;
*Ophthalmologic Surgical Procedures;
*Prostheses and Implants;
Retrospective Studies;
Sclera/*surgery;
Treatment Outcome
- From:Korean Journal of Ophthalmology
2001;15(2):107-112
- CountryRepublic of Korea
- Language:English
-
Abstract:
We evaulated the effectiveness and adverse effects of deep sclerectomy with collagen implant (DSCI), which is a kind of nonpenetrating filtering surgery. In this retrospective study, DSCI was performed in 15 eyes of 11 glaucoma patients. An trabeculo-Descemet's membrane (TDM) window is created by a deep sclerokeratectomy, and the collagen implant is placed in the sclera bed under a superficial flap (deep sclerectomy with collagen implant). In 3 of 15 eyes the DSCI was intraoperatively converted to conventional filtering surgery for a large perforation of the TDM. These eyes were not included in the results of the surgical outcomes. The mean age of the patients was 50.3 +/- 14.4 years, and the mean follow-up period was 11.1 +/- 5.9 months. A diagnosis of chronic open angle glaucoma was made in 7 eyes and a diagnosis of secondary glaucoma in 5 eyes. The mean preoperative IOP was 25.8 +/- 11.9 mmHg, the immediate postoperative IOP was 6.4 +/- 2.9 mmHg, and at the final follow-up, the IOP was 11.9 +/- 2.5 mmHg. The IOP in 5 eyes was under 6 mmHg temporarily. However, there was no serious complication such as shallow anterior chamber. DSCI is considered to be a good surgical procedure that has similar surgical outcomes to a conventional trabeculectomy without serious complications.
