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Intermediate Outcomes of Deep Sclerectomy in Juvenile Glaucoma
Shaima S Alharbi1,2, Ibrahim Al Obaida1, Ibrahim Al Jadaan1
1King Khaled Eye Specialist Hospital, Riyadh.
Journal of Glaucoma
|January 9, 2022
Summary
Deep sclerectomy (DS) is a safe and effective treatment for juvenile open-angle glaucoma (JOAG), successfully controlling intraocular pressure (IOP) in most patients for up to 3 years.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Surgical Innovation
Background:
- Juvenile open-angle glaucoma (JOAG) presents unique challenges in management.
- Effective long-term IOP control is crucial to prevent vision loss in JOAG patients.
Purpose of the Study:
- To evaluate the safety and efficacy of deep sclerectomy (DS) in patients diagnosed with juvenile open-angle glaucoma (JOAG).
Main Methods:
- A retrospective chart review was conducted for JOAG patients who underwent DS with mitomycin C.
- The study included 50 eyes from 37 patients with a mean follow-up of 26.1 months.
Main Results:
- Deep sclerectomy (DS) reduced mean intraocular pressure (IOP) from 26.1 mmHg to 15.2 mmHg (P<0.01).
- The success rate, defined as IOP between 5-18 mmHg, was 72% at 3 years.
- Medication use decreased from 3.8 to 0.8 medications per patient (P<0.01).
Conclusions:
- Deep sclerectomy (DS) is a safe and effective surgical option for managing juvenile open-angle glaucoma (JOAG).
- DS provides significant and sustained IOP reduction in JOAG patients for at least 3 years.
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