Related Experiment Videos
Modified Schocket implant for refractory glaucoma. Experience of 55 cases
C A Omi1, G V De Almeida, R Cohen
1Department of Ophthalmology of Escola Paulista de Medicina, São Paulo, Brazil.
Ophthalmology
|February 1, 1991
Summary
This study shows that modified 90 degrees Schocket implants effectively manage refractory glaucoma, significantly lowering intraocular pressure (IOP) in most patients. The procedure demonstrated a high success rate with manageable complications.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Refractory glaucoma presents a significant challenge in managing intraocular pressure (IOP).
- Various surgical interventions exist, but outcomes can be variable, necessitating exploration of alternative techniques.
Purpose of the Study:
- To evaluate the efficacy and safety of a modified 90 degrees Schocket implant for antiglaucomatous surgery.
- To assess the impact on intraocular pressure (IOP) and identify complications in a diverse group of refractory glaucoma patients.
Main Methods:
- A cohort of 51 patients (55 eyes) with diverse forms of refractory glaucoma underwent surgery with a modified 90 degrees Schocket implant.
- Follow-up ranged from 3 to 27 months, with pre- and post-operative intraocular pressure (IOP) measurements recorded.
Main Results:
- The mean preoperative IOP of 39.5 mmHg was reduced to a mean postoperative IOP of 17.8 mmHg.
- 90.9% of eyes achieved an IOP less than 21 mmHg post-surgery, with 26.0% requiring no medication.
- Complications occurred in 23.6% of eyes, with most successfully treated.
Conclusions:
- Modified 90 degrees Schocket implants represent an effective surgical option for managing refractory glaucoma.
- The technique offers significant IOP reduction and a favorable safety profile in complex glaucoma cases.