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[Long-term follow-up after deep sclerectomy]
C Gesser1, A Wiermann1, M Keserü1
1Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Hamburg-Eppendorf, Hamburg.
Klinische Monatsblatter Fur Augenheilkunde
|April 10, 2014
Summary
Deep sclerectomy (DS) effectively lowers intraocular pressure (IOP) long-term, reducing medication needs. This glaucoma surgery also helps stabilize visual fields over an 8-year period.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Surgical Outcomes
Background:
- Glaucoma management requires effective long-term intraocular pressure (IOP) control.
- Deep sclerectomy (DS) is a surgical option for lowering IOP.
- Evaluating the long-term efficacy and safety of DS is crucial for clinical practice.
Purpose of the Study:
- To assess the long-term outcomes of deep sclerectomy (DS).
- To evaluate IOP reduction and medication usage up to 8 years post-surgery.
- To determine the impact of DS on visual field stability.
Main Methods:
- Retrospective study of patients who underwent DS between February 2004 and October 2005.
- Follow-up assessments conducted between August 2009 and October 2011.
- Evaluation included IOP measurements, medication use, and visual field analysis.
Main Results:
- A significant IOP reduction of 30% was observed (from 18.37 ± 6.36 mmHg to 12.85 ± 3.5 mmHg).
- The mean number of IOP-lowering eye drops decreased significantly after 6 years.
- Qualified success (IOP ≤ 15 mmHg with or without medication/surgery) was achieved in 81% of eyes.
Conclusions:
- Deep sclerectomy (DS) is an effective long-term IOP-lowering procedure.
- DS contributes to the stabilization of visual fields in glaucoma patients.
- While effective, some patients may require additional interventions like cyclophotocoagulation or revision surgery.
