Abstract
ABSTRACTAimTo assess the role of porous collagen in deep sclerectomy (DS), with and without trabeculo-Descemet membrane (TDM) rupture.Patients and methodsForty-six eyes with different types of open-angle glaucoma and medically uncontrolled intraocular pressure (IOP) were selected. DS was performed in all cases. Ologen was implanted as a single large piece in the scleral lake and subconjunctival space in all cases with and without TDM rupture.ResultsA total sample of 46 open-angle glaucoma patients were included in the study. The mean ± standard deviation (SD) IOP was 25.6 mm Hg ± 10.6 (range 12-58 mm Hg) pre-operatively. On follow-up, the mean ± SD IOP was 6.1 mm Hg ± 3.7 (range 2-20 mm Hg) 1 day postoperatively and 9.3 mm Hg ± 4.0 (range 4-23 mm Hg) after 1 month of follow-up, at 12 months the IOP was at 12.1 mm Hg ± 3 (range 8-18 mm Hg). The overall mean ± SD IOP reduction percentage was 48.3% ± 21.3 (range 0.0-86.2). Comparing mean IOP reductions at last follow-up between TDM rupture cases and non-TDM cases (Mann-Whitney test), the mean ± SD IOP reduction in TDM rupture patients was 12.1 ± 8.0 mm Hg (range 2-27) meanwhile, in non-TDM rupture patients it was 14.3 ± 11.4 mm Hg (range 0-50). However, the difference in IOP reduction between the two groups was not significant. (p = 0.689)ConclusionPorous collagen can enhance the results of DS; also, it helps to proceed with DS in cases of TDM rupture without converting to trabeculectomy.How to cite this article: Elbably A, Othman TM, Mousa A, Elridy M, Badawy W, Elbably M. Deep Sclerectomy with Porous Collagen in Open-angle Glaucoma, Short-term Study. J Curr Glaucoma Pract 2018;12(2):85-89.
Highlights
deep sclerec tomy (DS) surgery was designed to increase the success rate and lower the risk of complications of trabeculectomy, giving both patient and surgeon a safer and more convenient option.[1,2]Four possible mechanisms of decrease intraocular pressure (IOP) can be achieved in DS: (1) subconjunctival bleb, (2) scleral lake, (3) suprachoroidal space and (4) episcleral venous outflow
A total sample of 46 open-angle glaucoma patients were included in the study
The overall mean ± standard deviation (SD) IOP reduction percentage was 48.3% ± 21.3
Summary
DS surgery was designed to increase the success rate and lower the risk of complications of trabeculectomy, giving both patient and surgeon a safer and more convenient option.[1,2]. Four possible mechanisms of decrease IOP can be achieved in DS: (1) subconjunctival bleb, (2) scleral lake, (3) suprachoroidal space and (4) episcleral venous outflow. Space maintaining implants in the scleral lake were first tried by Kozlov.[2] Since non-absorbable, absorbable, and autologous implants were the main kinds being used till now. A semi-solid-cross-linked sodium hyaluronate implant (Healaflow®) has been injected inside the scleral lake and subconjunctivally.[2,10,11]
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call