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Non-penetrating deep sclerectomy in uveitic glaucoma

Poster Details

First Author: S.Al-Obeidan SAUDI ARABIA

Co Author(s):                  

Abstract Details

Purpose:

To assess the long-term efficacy and safety of non-penetrating glaucoma surgery in controlling intraocular pressure (IOP) in uveitic glaucoma.

Setting:

A Prospective cohort study. at King Abdulaziz University hospital, King Saud University

Methods:

The study is based on 33 consecutive eyes of 21 patients with uveitic glaucoma who underwent non-penetrating deep sclerectomy with Mitomycin C (MMC) and implant. All patients received anti-inflammatory medications to control intraocular inflammation before and after surgery. Goniopuncture was done for cases that developed uncontrolled postoperative IOP.

Results:

Mean (±SD) follow-up was 33.21(± 19.83), (range 12-120) months. IOP reduced from 37.2 to 14.67 mmHg (p < 0.0001). Complete and qualified success was 24/33 (72.7%) eyes, and 7/33 (21.2%) eyes, respectively, with failure in 2 eyes. The mean number of anti-glaucoma medications reduced from 3.24 preoperatively to 0.41 at the last visit (p< 0.0001). YAG goniopuncture was performed in 12 (36.4%) eyes. Postoperative complications included progression of cataract in nine (27.3%) eyes, transient hypotony in 6 (18.2%) eyes, shallow choroidal effusions in four (12.1%) eyes, and hypotony with persistent maculopathy, hyphema and decompression retinopathy in one (3%) eye each.

Conclusions:

Deep sclerectomy is safe and effective in patients with uveitic open angle glaucoma. However laser goniopuncture is frequently needed to improve the outcome.

Financial Disclosure:

NONE

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