| The effect of deep sclerectomy on intraocular pressure of normal-tension glaucoma patients: 1-year results. | |
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MedLine Citation:
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PMID: 19775310 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To study the intraocular pressure (IOP)-reducing effect of deep sclerectomy on normal-tension glaucoma (NTG) patients. METHODS: We retrospectively analysed 21 eyes of 18 consecutive NTG patients who had undergone deep sclerectomy with mitomycin-C and a collagen implant. RESULTS: Median (range) preoperative IOP was 15.1 mmHg (9.3-20.8) and median follow-up time 13 months (12-18). At the 1-year follow-up visit, median IOP was significantly (P < 0.001) reduced to 10.5 mmHg (4-15) with median IOP reduction from preoperative values of 37% (12-78). Laser goniopuncture was performed in 10 eyes (48%) 1-16 months postoperatively. After 13 months' follow-up, a complete success at 20%, 25% and 30% IOP reduction levels was achieved in 67%, 62% and 52% of eyes, respectively. Few complications were encountered, but these included reduced visual acuity, problems with conjunctiva, microperforation, hyphaema, Dellen formation and encapsulated bleb. We encountered no complications related to postoperative hypotony. CONCLUSION: Deep sclerectomy with a collagen implant and mitomycin-C was a safe and effective method for reducing IOP in NTG patients during 1-year follow-up. |
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Authors:
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Sakari Suominen; Mika Harju; Tapio Ihanam?ki; Eija Vesti |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-09-23 |
Journal Detail:
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Title: Acta ophthalmologica Volume: 88 ISSN: 1755-3768 ISO Abbreviation: Acta Ophthalmol Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-04-27 Completed Date: 2010-05-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101468102 Medline TA: Acta Ophthalmol Country: England |
Other Details:
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Languages: eng Pagination: 27-32 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Helsinki University Central Hospital, Finland. sakari.suominen@hus.fi |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Absorbable Implants Aged Anterior Chamber / surgery Collagen / administration & dosage Conjunctival Diseases / etiology Female Follow-Up Studies Humans Hyphema / etiology Intraocular Pressure* Intraoperative Care Intraoperative Complications Laser Therapy Low Tension Glaucoma / physiopathology*, surgery* Male Middle Aged Mitomycin / administration & dosage Postoperative Complications Postoperative Period Punctures Reoperation Retrospective Studies Sclerostomy / adverse effects, methods* Visual Acuity |
| Chemical | |
Reg. No./Substance:
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50-07-7/Mitomycin; 9007-34-5/Collagen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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