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Surgical management of the blockade intrascleral pathway after hypotensive operations: long-term results

Poster Details

First Author: I.Shiryaev RUSSIA

Co Author(s):    I. Baranov   L. Perevedentseva   I. Shiryaev        

Abstract Details



Purpose:

the goal of this report is to introduce a technique of transcorneal activation of the site of previous hypotensive surgery, it's complications and long-term results.

Setting:

Academician S.N.Fedorov St. Petersburg Branch of the IR&TC 'Eye microsurgery' St. Petersburg, Russia.

Methods:

the study enrolled 100 patients aged from 39 to 84 who underwent a transcorneal activation procedure due to decompensation of intraocular pressure 2 weeks - 20 years after previous hypotensive surgery. Group one included 40 patients after non-penetrating deep sclerectomy. Group 2 consisted of 60 patients after a penetrating hypotensive surgery.

Results:

There were no intraoperative complication during the transcorneal activation procedure in both groups. Postoperative complications occured in 5% of patients in group 1 (ciliochoroidal detachment) and in 8,3% of patients in group 2 (hyphemas and ciliochoroidal detachment). In both groups a statistically reliable decrease of intraocular pressure comparing to preoperative values was present during the whole period of follow-up (up to 3 years) and averaged 34,6%.

Conclusions:

transcorneal activation of the site of previous hypotensive surgery is the operation of choice, particularly in terms of up to 5 years and it's provides stable hypotensive effect. FINANCIAL INTEREST: NONE

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