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Nonpenetrating deep sclerectomy: a 6-year retrospective study.
Y Lachkar1, J Neverauskiene, M N Jeanteur-Lunel
1Glaucoma Institute, Foundation Hospital Saint-Joseph, Paris, France.
European Journal of Ophthalmology
|March 10, 2004
Summary
Nonpenetrating deep sclerectomy (NPDS) effectively lowers intraocular pressure in open-angle glaucoma patients. This safe filtering surgery offers an alternative to trabeculectomy with fewer complications.
Area of Science:
- Ophthalmology
- Surgical Procedures
- Glaucoma Treatment
Background:
- Nonpenetrating trabeculectomy, or NPDS, is a glaucoma surgery.
- It aims to reduce complications associated with traditional trabeculectomy.
- This study evaluates the safety and efficacy of NPDS.
Purpose of the Study:
- To assess the safety and efficacy of nonpenetrating deep sclerectomy (NPDS) in managing open-angle glaucoma.
- To compare NPDS outcomes with trabeculectomy, focusing on complication rates.
Main Methods:
- A retrospective study of 258 eyes with uncontrolled open-angle glaucoma.
- Procedures included NPDS with a collagen device (157 eyes) or 5-fluorouracil sponge (90 eyes).
- Intraocular pressure (IOP) was monitored for up to 6 years.
Main Results:
- Mean IOP decreased from 24.47 mmHg preoperatively to 15.81 mmHg at 6 years.
- A significant reduction in medication use was observed post-surgery.
- Complications were generally mild, with no cases of endophthalmitis or choroidal detachment.
Conclusions:
- NPDS is a safe and effective filtering procedure for lowering IOP in open-angle glaucoma.
- It presents a viable alternative to trabeculectomy, offering a favorable safety profile.
- The procedure demonstrates long-term IOP control and reduced medication dependence.