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Long-term results of combined femto-assisted phacoemulsification and non-perforating deep sclerotomy with Xenoplast drainage implantation

Poster Details

First Author: S.Anisimova RUSSIA

Co Author(s):    S. Anisimov   L. Arutyunyan                 

Abstract Details

Purpose:

To study long-term results of combined femto-assisted phacoemulsification and non-perforating deep sclerotomy with Xenoplast drainage implantation: the level of intraocular pressure (IOP), structural and functional parameters of the eye.

Setting:

Moscow, Eye Center �â�€�œEast Sight Recovery�â�€�,Ophthalmological department Moscow Medico-Dental University

Methods:

45 eyes of 42 patients with different stages of primary open-angle glaucoma (POAG) were studied. All patients underwent combined femto-assisted phacoemulsification and non-perforating deep sclerotomy with Xenoplast drainage implantation. Before operation; 1, 3, 6 months and 1,2,3,4 years after the surgery the following parameters were investigated: corneal-compensated intraocular pressure (IOPcc), Goldman IOP (IOPg), corneal hysteresis (CH) with ORA (Reichert) diagnostics equiment. Also computer perimetry and optic disc retinal tomography were performed.

Results:

Average IOPcc, IOPg before the surgery were 25.9�Â�±8.4 mm Hg, 25.7�Â�±7.7 mm Hg respectively. The number of medications being used were 2.8�Â�±0.5. The IOP level was normalized by 1 year after the surgery without hypotensive medications in 56.4% of all cases. 43.6 % needed to use 0.7�Â�±0.5 medications. By the end of 4 year IOP normalization without any medications was marked in 40.9% and in 58.1% of all cases 1.7�Â�±0.8 were used. 4 years after the surgery IOPcc average parameters were 18.9�Â�±4.8 mm Hg; IOPg 17.8�Â�±3.6 mm Hg.

Conclusions:

Combined femto-assisted phacoemulsification and non-perforating deep sclerotomy with Xenoplast drainage implantation can be considered the statistically effective method of IOP normalization and stabilization of glaucoma process with reducing medication load comparing the preop level

Financial Disclosure:

NONE

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